A nurse is caring for a client who is receiving a continuous NG tube feeding and is experiencing frequent diarrhea. Which of the following actions should the nurse take?
Recommend a low-calorie formula.
Chill formula before administration.
Slow the rate of the feeding.
Change the infusion tubing every 48 hr.
The Correct Answer is C
A. Recommending a low-calorie formula would not address the issue of diarrhea. In fact, it may exacerbate it if the client is not receiving adequate nutrition.
B. Chilling the formula before administration is not likely to impact diarrhea and may not be comfortable for the client.
C. Slowing the rate of the feeding can help reduce the incidence of diarrhea by allowing the client's digestive system more time to process the nutrients, decreasing the risk of overwhelming the intestines.
D. Changing the infusion tubing every 48 hours is a routine procedure to prevent infection and is not directly related to managing diarrhea.
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Related Questions
Correct Answer is ["D","F"]
Explanation
A. Orange juice: Orange juice is a good source of vitamin C and can contribute to overall nutritional intake. However, it is not specifically indicated based on the laboratory results provided.
B. Carrots: Carrots are rich in beta-carotene, which is a precursor to vitamin A. While they are generally nutritious, they are not specifically indicated based on the laboratory results provided.
C. Almonds: Almonds are a good source of magnesium, which can help if the client is experiencing a deficiency, as indicated by the slightly low magnesium level in the laboratory results.
D. Eggs: Eggs, particularly the yolks, also contain this essential nutrient. Including these foods in the client's diet can help improve their vitamin D levels and overall health.
E. Brussels sprouts: Brussels sprouts are a good source of vitamin C and other nutrients, but they are not specifically indicated based on the laboratory results provided.
F. Salmon: Salmon is a good source of vitamin D, which can help address a deficiency if present, as indicated by the low level of total 25-hydroxy D in the laboratory results.
Correct Answer is A
Explanation
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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