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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Olive oil and vinegar are healthier choices for salad dressing, especially for individuals with hypertension, as they are low in saturated fat and sodium.
B. This choice is incorrect because low-calorie does not necessarily mean low in sodium, which is crucial for managing hypertension.
C. Limiting processed cheese is advised because it often contains high levels of sodium, which can raise blood pressure.
D. This choice is incorrect as many frozen dinners are high in sodium and preservatives, which are not recommended for a hypertension-friendly diet.
E. Cooking pasta without salt is a good practice to reduce sodium intake, which is beneficial for blood pressure control.
Correct Answer is D
Explanation
A. Having someone remain with the client for 30 minutes after meals can provide support and encouragement to prevent purging behaviorwhich are common with bulimia andnot anorexia nervosa.
B. Offering a selection of beverages at each meal may not directly address the underlying issues associated with anorexia nervosa.
C. Informing the client of a specific weight gain expectation may increase anxiety and may not be appropriate given the individualized nature of weight restoration in anorexia nervosa
treatment.
D. Encouraging the client to participate in developing dietary goals is important for fostering autonomy and empowerment and is associated with better compliance.
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