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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E","F"]
Explanation
A. Increasing fiber intake through vegetables and whole grains is recommended as it helps manage blood sugar levels and promotes overall health.
B. Monitoring blood glucose levels regularly is essential for individuals with diabetes to assess their condition and adjust their treatment plan accordingly.
C. Consuming sugary drinks to maintain energy levels is not appropriate as sugary drinks can cause blood sugar spikes and worsen diabetes control.
D. Engaging in at least 150 minutes of moderate-intensity aerobic exercise per week is beneficial for managing blood sugar levels, improving insulin sensitivity, and overall cardiovascular health.
E. Reducing alcohol consumption is recommended as excessive alcohol intake can interfere with blood sugar control and interact with diabetes medications.
F. Limiting carbohydrate intake, focusing on complex carbohydrates, helps prevent blood sugar spikes and promotes better diabetes management.
G. Relying solely on medication without lifestyle changes is not appropriate. Lifestyle modifications are essential in managing Type 2 diabetes effectively alongside medications.
Correct Answer is C
Explanation
A. Furosemide is a diuretic and is not associated with PML.
B. Metoprolol is a beta-blocker and does not cause PML.
C. Natalizumab is an immunosuppressant used for multiple sclerosis and has been linked to the development of PML, a serious brain infection.
D. Pregabalin is used for neuropathic pain and does not carry a risk for PML.
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