A client receives several tube feedings each day. After ...

[londonang]

A client receives several tube feedings each day. After documenting the client's tolerance of the feedings and assessments in the medical record, the nurse should also document the amount of feeding provided on the:
 
  1. Graphic sheet.
  2. Dietary consultation notes.
  3. Vital signs record.
  4. Intake and output record.

Question 2

The nurse is preparing to administer a feeding to a client with a gastrostomy tube. What should the nurse do before providing this feeding?
 
  1. Assess tube placement.
  2. Measure vital signs.
  3. Assist the client to a prone position.
  4. Lower the head of the bed.

[jgranad15]

Answer to Question 1

Correct Answer: 4
Rationale 1: Fluid intake for each feeding is not entered on the graphic sheet. The amount of fluid for a 24-hour period would be documented on this sheet.
Rationale 2: Fluid intake for tube feedings is not documented in the dietary consultation notes.
Rationale 3: Fluid intake for tube feedings is not documented on the vital signs record.
Rationale 4: The amount of fluid as feeding provided to the client should be recorded on the intake and output record.

Answer to Question 2

Correct Answer: 1
Rationale 1: Prior to administering a feeding through a gastrostomy tube, the nurse should assess for tube placement.
Rationale 2: The client's vital signs do not need to be assessed prior to receiving a feeding through a gastrostomy tube.
Rationale 3: The client should be in the sitting or the Fowler's position.
Rationale 4: The head of the bed should be elevated at least 30 degrees.