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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

D. Fish and poultry are primary sources of heme iron: This is correct. Fish and poultry are rich sources of heme iron, which is the type of iron found in animal-based foods. Heme iron is more easily absorbed by the body than non-heme iron, which is found in plant-based foods.

A. Initiate early feeding. B. Suction excess mucus with a bulb syringe. C. Prepare for an exchange blood transfusion. D. Begin phototherapy.

Correct Answer is A

Explanation

A) Initiate early feeding:

Early and frequent breastfeeding or formula feeding helps stimulate bowel movements, which aid in the elimination of bilirubin from the body. Breast milk also contains substances that promote bilirubin excretion, making early feeding an effective preventive measure against neonatal jaundice.

B) Suction excess mucus with a bulb syringe:

While clearing excess mucus can facilitate breathing and feeding, it does not directly prevent jaundice.

C) Prepare for an exchange blood transfusion:

Exchange transfusion is a treatment option for severe jaundice that has not responded to other measures. It is not a preventive measure.

D) Begin phototherapy:

Phototherapy is a treatment for jaundice after it has occurred, not a preventive measure. It involves exposing the newborn's skin to specific wavelengths of light to break down excess bilirubin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?

Correct Answer is A

Explanation

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