The nurse administering a bolus tube feeding inserts a 60 mL ...

[dakota nelson]

The nurse administering a bolus tube feeding inserts a 60 mL syringe into the tube. After pouring formula into the syringe, where should the nurse hold the syringe?
 
  1. 1-3 inches above the ostomy opening
  2. 3-6 inches above the ostomy opening
  3. 5-10 inches above the ostomy opening
  4. 12 inches above the ostomy opening

Question 2

When discontinuing the nasogastric tube, the nurse instructs the client to complete which action?
 
  1. Cough
  2. Take a deep breath and hold it
  3. Hold very still
  4. Breathe deeply in through the nose and out through the mouth

[ryrychapman11]

Answer to Question 1

Correct Answer: 2

The syringe is held 3-6 inches above the ostomy opening and adjusted as needed to avoid having the formula infuse too quickly or too slowly.

Answer to Question 2

Correct Answer: 2

The client should be taught to take a deep breath and hold it to avoid any stomach contents from entering the lungs as the tube is withdrawn. Pinching the tube or flushing the tube with air can also help to reduce this risk. Coughing, holding still, and breathing deeply are not indicated, because they serve no useful purpose.