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?
Flush the tubing with 10 mL water every 6 hr.
Administer the feeding by gravity drip.
Replace the bag and tubing every 24 hr.
Heat the formula prior to infusion.
The Correct Answer is A
A. Flushing the tubing with water at regular intervals helps prevent the buildup of formula residue and maintains tube patency. This is especially important with high-viscosity formulas, which are more prone to clogging small-bore tubes.
B. Administering the feeding by gravity drip is a method of delivery and does not directly address the prevention of tubing clogging.
C. While replacing the bag and tubing every 24 hours is a standard practice to reduce the risk of bacterial contamination, it does not specifically prevent tubing clogging.
D. Heating the formula prior to infusion may improve its flow characteristics but does not address the prevention of tubing clogging. Heating formula should be done according to manufacturer guidelines to avoid denaturation of nutrients.
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Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}
Explanation
Unpasteurized cheese: Contraindicated. Unpasteurized cheese carries a risk of containing harmful bacteria, which can pose a risk of infection, especially for immunocompromised individuals like those undergoing chemotherapy.
Grilled hot dog: Contraindicated. Grilled hot dogs may pose a risk of bacterial contamination, which can be harmful, especially for individuals with mouth sores and immunosuppression. High-calorie supplement drink: Safe. High-calorie supplement drinks can provide essential nutrients and calories, which can be beneficial for clients undergoing chemotherapy, especially if they have increased appetite.
Sushi: Contraindicated. Sushi may contain raw fish or other raw ingredients that can increase the risk of foodborne illness, which can be harmful for immunocompromised individuals.
Cold deli meat sandwich: Contraindicated. Cold deli meats may carry a risk of listeria contamination, which can be harmful, especially for individuals with weakened immune systems due to chemotherapy.
Correct Answer is B
Explanation
A. Increasing caloric intake before pregnancy without specific guidance can lead to unnecessary weight gain. It's essential for individuals to maintain a healthy weight before pregnancy, but there's no need to deliberately increase caloric intake.
B. Increasing folic acid intake to 400 micrograms per day prior to pregnancy is recommended to help prevent neural tube defects in the developing fetus. This is a crucial dietary guideline for women who are planning to become pregnant.
C. While seafood can be a source of important nutrients such as omega-3 fatty acids, consuming excessive amounts may expose the client to potential contaminants such as mercury. It's recommended to consume seafood in moderation and choose low-mercury options.
D. Ascorbic acid, or vitamin C, is important for overall health and is not typically restricted in the diet unless medically necessary. There's no need to decrease ascorbic acid intake in preparation for pregnancy.
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