A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding?
(Select All that Apply.)

Use sterile water to flush the tube before and after feeding.

Lower the head of the bed to 15 degrees to facilitate feeding.

Change the feeding bag and tubing every 24 hours.

Check for residual volume before each feeding

Add crushed medications to the enteral formula for convenience.

Administer the feeding in a continuous cycle over 24 hours.

Answer and Explanation

Correct Answer : C,D

A.   Using sterile water is recommended for flushing the tube before and after feeding, but it is not the most critical step in preventing complications.
B.   Lowering the head of the bed to 15 degrees during feeding may increase the risk of aspiration, as a higher elevation is typically recommended.
C.   Changing the feeding bag and tubing every 24 hours helps prevent bacterial contamination and reduces the risk of infection.
D.   Checking for residual volume before each feeding helps ensure that the stomach is empty, reducing the risk of aspiration.
E.   Adding crushed medications to the enteral formula is not recommended, as it can alter the formula's absorption and cause clogging of the tube.
F.   Administering the feeding in a continuous cycle over 24 hours is typically done for certain patients, but it is not essential to prevent complications in all cases.

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Correct Answer is ["90"]

Explanation

Calculate the required dosage: 5 mg/kg/hour × 72 kg = 360 mg/hour.

Determine the volume required based on the concentration: 360 mg ÷ (400 mg/100 mL) = 90 mL/hour.
The correct infusion rate is 90 mL/hour for this patient.

A. Drink fruit juices instead of whole fruits to avoid fiber. B. Eliminate all carbohydrates from the diet. C. Increase intake of high-per foods such as vegetables and whole grains. D. Consume high-protein, high-fat meals to maintain satiety.

Correct Answer is C

Explanation

A. Drinking fruit juices instead of whole fruits may increase blood sugar levels due to the lack of fiber in juices. Whole fruits are better for blood glucose control.
B. Eliminating all carbohydrates is not advisable, as carbohydrates are necessary for energy. A balanced diet with controlled carbohydrates is recommended.
C. Increasing the intake of high-fiber foods like vegetables and whole grains helps regulate blood glucose levels by slowing digestion and improving insulin sensitivity.
D. Consuming high-protein, high-fat meals could negatively affect blood sugar levels and cardiovascular health, which is a concern for diabetics.

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A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding? (Select All that Apply.)

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Explanation

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A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding?
(Select All that Apply.)