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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B. Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C. Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D. Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.

A. "Limit sodium intake to 3,200 milligrams per day." B. "Consume foods that are high in calcium." C. "Increase intake of refined carbohydrates." D. "Consume ten percent of total calories from saturated fat."

Correct Answer is B

Explanation

A. The DASH diet recommends limiting sodium intake to 2,300 milligrams per day for most individuals and further reducing it to 1,500 milligrams per day for those with hypertension or at high risk for it. Therefore, the instruction to limit sodium intake to 3,200 milligrams per day is not consistent with DASH diet recommendations.
B. The DASH diet emphasizes consumption of foods rich in calcium, such as low-fat dairy products, as part of its overall approach to promoting heart health and lowering blood pressure.
C. The DASH diet encourages consumption of whole grains and limits intake of refined carbohydrates, as these can contribute to hypertension and other cardiovascular risk factors.
D. The DASH diet recommends limiting saturated fat intake to less than 6% of total calories, rather than ten percent, as part of its emphasis on heart-healthy eating patterns.

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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?

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