A nurse is caring for a client who has a nasogastric tube and is receiving a continuous tube feeding with a high-protein formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

Choice A reason: Tuna fish is a good food choice for an older adult client who has difficulty chewing due to missing teeth because it is soft, moist, and easy to swallow. Tuna fish also provides protein, omega-3 fatty acids, and vitamin D for the client.

Choice B reason: Roast beef is not a good food choice for an older adult client who has difficulty chewing due to missing teeth because it is tough, dry, and hard to chew. Roast beef can cause pain, fatigue, or choking for the client who has missing teeth. Roast beef should be avoided or cut into very small pieces and moistened with gravy or sauce before consuming.

Choice C reason: Apple slices are not a good food choice for an older adult client who has difficulty chewing due to missing teeth because they are crisp, firm, and sticky. Apple slices can cause irritation or injury to the gums or mouth or dislodge any remaining teeth. Apple slices should be avoided or cooked until soft and mashed before consuming.

Choice D reason: Dried fruit is not a good food choice for an older adult client who has difficulty chewing due to missing teeth because they are chewy, sticky, and sugary. Dried fruit can adhere to the gums or teeth and cause dental caries or gum disease. Dried fruit should be avoided or soaked in water until soft and cut into small pieces before consuming.

Choice A reason: 1 slice of bread is equivalent to 1 oz of grains, not protein. Bread is a good source of carbohydrates, fiber, and B vitamins, but it does not provide enough protein for a toddler.

Choice B reason: 1 scrambled egg is equivalent to 1 oz of protein. Egg is a complete protein, meaning it contains all nine essential amino acids that the body cannot make. Egg is also a good source of iron, choline, and vitamin D.

Choice C reason: 1/2 cup peas is equivalent to 1/2 oz of protein and 1/2 cup of vegetables. Peas are an incomplete protein, meaning they lack some essential amino acids. Peas are also a good source of fiber, vitamin C, and folate.

Choice D reason: 2 tbsp peanut butter is equivalent to 2 oz of protein. Peanut butter is an incomplete protein, but it can be combined with bread or crackers to form a complete protein. Peanut butter is also a good source of fat, magnesium, and niacin.