A 38-year-old female patient is admitted to
A 38-year-old female patient is admitted to the medical unit with an 8-year history of ulcerative colitis (chronic inflammatory bowel disease [IBD]). She normally weighs 140 lb. She has lost 10% of her body weight in the past month and is experiencing abdominal pain, fatigue, and persistent diarrhea. She is now not able to tolerate food orally and is very nauseated. She is on adalimumab subcutaneously once per month. A continuous tube feeding of Isosource HN is infusing at 45 mL/hr for the next 5 days. She tells the nurse that she is confused about why the nurses are always working with her feeding tube and she has several questions about its use. The patient asks, “Why did I have to have an x-ray after the feeding tube was put in my nose?” The most appropriate nursing response is: Group of answer choices “If the tube has been pulled back into the esophagus, it can lead to regurgitation, with the fluid then accidentally going into your lungs.” “The paper tests the pH of the fluid in your feeding tube at the bedside. This provides us with some information regarding the position of a feeding tube before we started the feeding.” “Baseline pulse oximetry changes can help us determine if the feeding tube has moved and become misplaced in your trachea or breathing tube.” “Initial x-ray verification of correct feeding tube position is needed before we start the tube feeding.” “We monitor the external length of the tube to be sure it is not out of position.” “We will check the placement of your feeding tube at least every 2 hours to be sure it has not moved.” “You will not be able to get out of bed for 5 days while the feeding tube is in place.” “The tube feeding will be stopped for 2 hours so we can test the pH before your feeding.” SCIENCE HEALTH SCIENCE NURSING NURSING RN 100
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