NCLEX Pediatric | Nurselytic

Questions 48

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NCLEX Pediatric Questions

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Question 1 of 5

The nurse is caring for a preterm infant who must be fed via bolus gavage feeding. The infant has a 5 French feeding tube already secured in the left naris. The nurse has aspirated the infant’s stomach contents, noting color, amount, and consistency, and has reinserted the residual amount because it was less than one-fourth the previous feeding. Prioritize the remaining steps that the nurse should take to complete this feeding.

Order the Items

Source Container

Elevate the syringe 6 to 8 inches over the infant’s head.
Position the infant on the right side.
Uncrimp the tubing and allow the feeding to flow by gravity at a slow rate.
Crimp the feeding tube and pour the specified amount of formula or breast milk into the barrel.
Cap the lavage feeding tube.

Correct Answer: D, A, F, C, E, B, G

Rationale: Sequence: Position infant on right side (
D) to reduce aspiration risk connect syringe barrel (
A) crimp tube and pour formula (F) elevate syringe (
C) uncrimp for gravity flow (E) clear tubing with air (
B) cap tube (G).

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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