A nurse is caring for a client who has a small-bore jejunostomy tube and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?
Replace the bag and tubing every 24 hr.
Flush the tubing with 10 mL water every 6 hr.
Administer the feeding by gravity drip.
Heat the formula prior to infusion.
The Correct Answer is B
A) While it's important to change the feeding bag and tubing regularly to pr’vent bacterial growth and contamination, replacing them every 24 hours may not be necessary unless otherwise indicated by facility policy or if there are signs of contamination or malfunction. Routine replacement every 24 hours is not specifically indicated for preventing tubing clogging.
B) Flushing the tubing with water every 6 hours is an effective method to prevent clogging, especially when using a high-viscosity formula. Flushing helps ensure that the formula does not solidify or adhere to the inner walls of the tubing, maintaining its patency and preventing obstruction.
C) Administering the feeding by gravity drip is a method of delivery rather than a preventive measure against tubing clogging. While gravity drip administration may be appropriate for certain types of tube feedings, it does not directly address the prevention of tubing clogging.
D) Heating the formula prior to infusion may help improve its flow characteristics, especially if the formula has thickened due to being refrigerated. However, this action alone may not be sufficient to prevent tubing clogging. Flushing the tubing with water at regular intervals is a more direct and effective preventive measure in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Vitamin D: While vitamin D plays a crucial role in bone health and immune function, it may not directly contribute to wound healing unless the client has a deficiency. Vitamin D deficiency can impair immune function and delay wound healing, but routine supplementation may not be necessary unless deficiency is confirmed through laboratory testing.
B) Calcium: Calcium is essential for bone health and muscle function but is not directly involved in the wound healing process. While adequate calcium intake is important for overall health, supplementation specifically for wound healing is not typically recommended unless the client has a documented calcium deficiency.
C) Vitamin C: Vitamin C is essential for collagen synthesis, a critical component of wound healing. It promotes the formation of new connective tissue and helps strengthen the wound site. Adequate vitamin C intake is necessary for proper wound healing, and supplementation may be beneficial, especially for clients at risk of deficiency.
D) Potassium: Potassium is an electrolyte important for maintaining fluid balance and proper muscle function but is not directly involved in the wound healing process. Supplementation with potassium is typically recommended only for clients with documented potassium deficiencies or those at risk of deficiencies due to certain medical conditions or medications.
Correct Answer is B
Explanation
A) Increased protein intake is generally beneficial for wound healing. Protein provides the essential amino acids necessary for tissue repair and regeneration. Therefore, this would not be considered a barrier to wound healing.
B) Decreased vitamin C intake can be a barrier to wound healing. Vitamin C plays a crucial role in collagen synthesis, which is essential for wound repair and tissue regeneration. Without an adequate supply of vitamin C, the body's ability to form strong connective tissue at the wound site may be compromised, leading to delayed healing.
C) Increased caloric intake can actually be beneficial for wound healing, especially if the client is undernourished or experiencing metabolic stress. Adequate caloric intake provides the energy necessary for cellular activities involved in the healing process, including immune function and tissue repair.
D) Decreased fat intake may not necessarily be a barrier to wound healing. While certain types of fats, such as omega-3 fatty acids, can have anti-inflammatory effects and support overall health, excessive intake of unhealthy fats may contribute to inflammation and impair healing. However, fat intake alone is unlikely to be a significant barrier to wound healing compared to deficiencies in other essential nutrients like protein or vitamin C.
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