Jersey College School of Nursing proctored exam
A nurse is caring for a client who is receiving enteral feeding. Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. Nurses' Notes Day 1: The client is receiving intermittent tube feedings via an NG tube. Abdomen is soft, nondistended. pH of gastric aspirate 3.0 Gastric residual volume 30 mL Abdominal girth at umbilicus 96.5 cm (38 in) Day 3: Abdomen is distended. Client reports nausea. pH of gastric aspirate 4.0 Gastric residual volume 620 mL Abdominal girth at umbilicus 101 cm (39.8 in) Diagnostic Results Day 1: Casual glucose 155 mg/dL (less than 200 mg/dL) Flat plate of abdomen: tip of NG tube in stomach Day 3: Casual glucose 275 mg/dL (less than 200 mg/dL)
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