which solutions are the most appropriate for use a
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RELIAS PEDIATRIC A VERSION 1
RELIAS PEDIATRIC A VERSION 1 LATEST
QUESTIONS & ANSWERS (GRADED A+)
100%
Which assessment tool, either individually or in addition to another method, can be used to
determine placement of a nasogastric feeding tube?
1.Radiographic image
2.Assessment of stomach aspirate color
3.Visual estimate
4.Assessment of stomach aspirate pH
5.Auscultation
1,2,4,5,
Which statement by the newly-graduated health care provider indicates understanding of a
gavage feeding?
1. "Using gravity, the lower I place the syringe, the faster the flow of formula into the stomach."
2. "Using gravity, the higher I hold the syringe, the faster the formula will flow into the
stomach."
3. "Gravity does not influence the flow of formula into the stomach."
4. "The flow of formula into the stomach is dependent on the previous amount of residual
stomach contents."
2
,RELIAS PEDIATRIC A VERSION 1
Which nursing action is important to remember when feeding an infant with a nasoduodenal or
nasojejunal tube?
1. Continuous feeds are contraindicated.
2. Bolus feeds are preferred, but one can use continuous feeds if better tolerated.
3. Continuous feeds are preferred, but one can use bolus feeds if better tolerated.
4. Bolus feeds are contraindicated.
4
When giving an enema to a 4-year-old child, the appropriate insertion distance (in inches) of
the enema is
3
Which position is appropriate for the 2-year-old patient receiving an enema?
1. Sitting upright on the toilet
2. Side-lying
3. Prone
4. Supine
,RELIAS PEDIATRIC A VERSION 1
2
Which referral is appropriate for the 17-year-old patient with Crohn's disease who had an
ostomy placed earlier that day?
1. Referral to physical therapist
2. Referral to immunologist
3. Referral to psychologist
4. Referral to wound-care specialist
3
Which statement by the health care provider indicates understanding of how a nasogastric tube
(NG) is measured for appropriate placement in an infant or child?
1. "Measuring from the nose to ear to mid-xiphoid is not easy to do in the clinical setting."
2. "The nose-ear-xiphoid is more accurate than the age predictor based on height."
3. "Measuring from the nose to the ear to the mid-xiphoid umbilicus can predict the correct
length."
4. "The correct length of the NG tube cannot be measured at the bedside and must be done
under fluoroscopy."
3
, RELIAS PEDIATRIC A VERSION 1
The nurse is caring for a 36-week-old premature infant who recently started enteral feeds
through a nasojejunal (NJ) tube. The infant has had two episodes of emesis in the past 30
minutes. After notifying the provider, which prescription can the nurse anticipate receiving
first?
1. Pulling back of the NJ tube 3 cm Since vomiting episodes could indicate displacement of the
nasojejunal (NJ) tube, the nurse should anticipate receiving an abdominal x-ray prescription to
verify placement of the tube. Pulling back on the tube 3 cm is not the appropriate action.
2. X-ray of abdomen Since vomiting episodes could indicate displacement of the NJ tube, the
nurse should anticipate receiving an abdominal x-ray prescription to verify placement of the
tube.
3. Lab work to assess for dehydration Since vomiting episodes could indicate displacement of
the NJ tube, the nurse should anticipate receiving an abdominal x-ray prescription to verify
placement of the tube. Lab work to assess for dehydration is not the appropriate action.
4. Continuing with enteral feeds as prescribed. Since vomiting episodes could indicate
displacement of the NJ tube, the nurse should anticipate receiving an abdominal x-ray
prescription to verify placement of the tube. Continuing with enteral feeds is not the
appropriate action.
2
Which statements concerning a gastronomy procedure are correct?
1. A gastrostomy tube (G-tube) is only inserted during surgery with the patient under
anesthesia.A gastrostomy tube (G-tube) is not only inserted during surgery with the patient
under anesthesia; it can also be inserted endoscopically with sedation and local anesthetic.
2. Granulation tissue can grow around the stomal site and is an indication of an
infection.Granulation tissue can grow around the stomal site, but it is not an indication of an
infection.
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