A nurse is caring for a client who has a nasogastric (NG) tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: The correct answer is B: Wipe the top of the formula can with alcohol. This is the first action the nurse should take because it ensures the cleanliness and sterility of the formula before administering it to the client through the NG tube, reducing the risk of contamination and infection. A: Making sure the enteral formula is at room temperature is important but not the first action to take. C: Rinsing the feeding bag with water between feedings is not necessary for every feeding and does not address the immediate need to ensure the cleanliness of the formula. D: Instructing the client to keep the head of the bed elevated is important for preventing aspiration but is not the first action to take in this scenario.

Correct Answer: A

Rationale: Rationale: Choice A is correct because the pneumococcal vaccine is recommended for adults aged 65 and older to prevent pneumonia and other pneumococcal diseases. This recommendation aligns with the age group of the older adults at the senior living center. A shingles vaccine is actually recommended at age 50, not 70 (B). Tetanus boosters are recommended every 10 years, not 5 (C). Eye examinations are typically recommended annually, not every 2 years (D). Therefore, choice A is the most appropriate recommendation for the nurse to include in the educational program.

Correct Answer: A

Rationale: The correct answer is A: The client reports relief of nausea. This is because when an NG tube is correctly placed in the stomach, it can help decompress the stomach and relieve nausea. Choice B is incorrect because pH less than 5 indicates gastric placement, but it does not confirm correct placement. Choice C is incorrect as bowel sounds can be present even if the tube is incorrectly placed. Choice D is incorrect because an x-ray showing the tube above the pylorus only confirms tube position, not necessarily correct placement.

Correct Answer: B

Rationale: Virginia Henderson is the correct answer because she emphasized the unique role of nursing in helping individuals achieve independence in meeting their basic needs. Henderson's theory focuses on the holistic approach to patient care, highlighting the importance of individualized care and the nurse's role in assisting patients to reach their optimal health potential. Florence Nightingale, known as the founder of modern nursing, focused on sanitation and environmental factors in health care. Martha Rogers emphasized the interconnectedness of humans with their environment. Abraham Maslow is known for his hierarchy of needs theory, which is more aligned with psychology than nursing.

Correct Answer: B

Rationale: The correct answer is B because intrinsic values refer to fundamental principles or beliefs that are essential for sustaining life, such as honesty, integrity, or compassion. These values are inherent to an individual's being and are not dependent on external factors. Choice A is incorrect as intrinsic values are not necessarily abstract ideas. Choices C and D are incorrect as they relate to personal preferences or expectations rather than core values necessary for life sustenance.