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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Anti-cyclic citrullinated peptide (anti-CCP) antibodies are specific for rheumatoid arthritis but are not necessarily linked to disease activity.
B. Elevated rheumatoid factor (RF) levels are common in rheumatoid arthritis but not always indicative of disease activity.
C. A decreased erythrocyte sedimentation rate (ESR) is typically a sign of less inflammation, not more.
D. Elevated C-reactive protein (CRP) levels are a direct marker of inflammation and are often correlated with increased disease activity in rheumatoid arthritis.
Correct Answer is D
Explanation
A. Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B. Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C. Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D. Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.
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