ATI SM 3.0: Enteral Tube Feeding Questions and Correct Answers
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Course
ATI SM
Institution
ATI SM
A nurse is administering an enteral tube feeding to a client. Which of the following
actions should the nurse take to prevent aspiration?
A. Flush the feeding tube with 30 mL of water.
B. Add blue food coloring to the enteral formula.
C. Ensure the formula is at room temperature.
D. Place the...
ATI SM 3.0: Enteral Tube Feeding
Questions and Correct Answers
To determine the length of a nasointestinal tube to insert, a nurse should measure
the distance from the tip of the client's nose to the earlobe & from the earlobe to
the...
A. Umbilicus
B. Xiphoid process
C. Manubrium plus 10 to 20 cm more
D. Xiphoid process plus 20 to 30 cm more
✓✓~ D. Xiphoid process plus 20 to 30 cm more
Rationale: Measuring from the tip of nose to earlobe to xiphoid process
approximates the distance from nose to stomach for 98% of clients.
For duodenal or jejunal placement, an additional 20 to 30 cm is required.
A nurse is caring for a group of clients. The nurse should identify that which of the
following clients requires an enteral tube feeding?
A. A client who has a paralytic ileus
, B. A client who has recently experienced facial trauma
C. A client who has dysphagia
D. A client who has a decreased appetite
✓✓~ C. A client who has dysphagia
Rationale: The nurse should identify that a client who is unable to swallow oral
nutrition can benefit from enteral feedings.
A nurse is preparing to administer a continuous enteral tube feeding to a client. The
nurse should take which of the following actions to prevent a complication of the tube
feeding?
A. Limit the time the formula hangs to 8 hr.
B. Flush the tube every 8 hr.
C. Deliver the formula at a brisk rate
D. Allow the feeding bag to empty before refilling it
✓✓~ A. Limit the time the formula hangs to 8 hr.
Rationale: Formula that hangs longer than 12 hr for an open system and 48 hr for a
closed system is at risk for spoilage of the formula or bacterial contamination,
typically manifested as diarrhea.
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