ATI SM 3.0: Enteral Tube Feeding Exam Questions With Correct Answers
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Course
ATI SM 3.0
Institution
ATI SM 3.0
ATI SM 3.0: Enteral Tube Feeding Exam
Questions With 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 ...
ATI SM 3.0: Enteral Tube Feeding Exam
Questions With 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 - answer✔✔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 - answer✔✔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?
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