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?

A) Remove the bedpan from the client's sight: This action helps create a more pleasant and comfortable environment for the client during meals, which can enhance their appetite and willingness to eat. Removing unpleasant stimuli, such as a bedpan, from sight can help improve the overall dining experience for the client.

B) Provide mouth care before feeding: Proper oral hygiene is essential for maintaining the client's oral health and can help stimulate their appetite. Mouth care before feeding removes food particles and bacteria, improving the client's ability to taste and enjoy food. It also helps prevent infections and discomfort associated with poor oral hygiene, promoting better overall nutrition.

C) Assess for pain prior to mealtime: While assessing for pain is crucial for overall client care, it is not directly related to implementing a nutrition plan for a client at risk for malnutrition. However, pain assessment is important for identifying any discomfort that could interfere with the client's ability to eat and should be addressed promptly.

D) Administer antiemetics following the meal: Administering antiemetics following meals may be necessary for clients who experience nausea or vomiting during or after eating. Antiemetics can help manage these symptoms, allowing the client to retain food and improve their nutritional intake. However, the decision to administer antiemetics should be based on individual assessment and prescription by a healthcare provider.

Infant abduction prevention in neonatal units relies on strict security architecture and specialized identification protocols. The nursery environment requires constant vigilance to prevent unauthorized personnel or family members from transporting neonates between clinical areas. Direct supervisory control by authorized staff or parents is essential to maintain the chain of custody. Hospital policies mandate that only staff or the mother with matching identification bands may move the infant.

Rationale for correct answer:

B. This response ensures that a licensed professional maintains physical control of the newborn during transport. It prevents unauthorized removal from the nursery by individuals without matching biometric identifiers or wristbands. The nurse verifies the mother's request directly to ensure safety. Physical custody remains with the clinical team.

Rationale for incorrect answers:

A. Allowing a relative to carry an infant in the hallway increases the risk of physical injury from falls. It also creates a massive breach in abduction prevention protocols designed to track infant movement. Relatives generally lack the required security clearance for transport. Security must never be bypassed for convenience.

C. Presenting a photo identification does not verify the legal custody or matching hospital security status required in maternity units. Identification bands must be checked against the maternal wristband at every encounter. This action fails to follow the standard double-identifier safety check. Staff presence is still required during the transfer.

D. Moving a newborn in a wheeled bassinet is the correct physical method, but unauthorized transport by a grandmother is prohibited. Even with proper equipment, the nurse must maintain visual surveillance and direct custody during the transition. Relatives are not permitted to move neonates independently between rooms. Security depends on authorized staff involvement.