Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?

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Question 1 of 5

Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?

Correct Answer: D

Rationale: Ensuring patency prevents complications like obstruction or aspiration during feeding.

Question 2 of 5

The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. Which of the following statements suggests that further teaching is needed?

Correct Answer: C

Rationale: Inconsistent timing reduces antibiotic efficacy, risking treatment failure.

Question 3 of 5

A newly admitted client has a diagnosis of depression. She complains of “twitching muscles” and a “racing heart”, and states she stopped taking Zoloft a few days ago because it was not helping her depression. Instead, she began to take her partner's Parnate. The nurse should immediately assess for which of these adverse reactions?

Correct Answer: C

Rationale: Switching from an SSRI (Zoloft) to an MAOI (Parnate) without a washout period risks serotonin syndrome, with mental status changes as a key sign.

Question 4 of 5

The nurse is monitoring a client receiving a thrombolytic agent, alteplase (Activase tissue plasminogen activator), for treatment of a myocardial infarction. What outcome indicates the client is receiving adequate therapy within the first hours of treatment?

Correct Answer: D

Rationale: ST-segment normalization indicates reperfusion, the goal of thrombolytic therapy.

Question 5 of 5

The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB?

Correct Answer: B

Rationale: Sputum culture confirms active TB by identifying Mycobacterium tuberculosis, unlike screening or supportive tests.

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