A nurse is collecting data on a client who has impaired mobility. The nurse should monitor the client for a pressure injury due to which of the following factors?

A. A lack of dietary fiber is commonly associated with constipation. Fiber is essential for proper bowel function, as it helps form bulk in stool and promotes regular bowel movements. Insufficient fiber can lead to sluggish bowel movements and discomfort.
B. Memory loss is not directly related to inadequate fiber intake. It is more commonly linked to other factors such as vitamin deficiencies or neurological conditions.
C. Brittle hair is typically a sign of protein or vitamin deficiencies, particularly biotin or other B vitamins, rather than being directly related to inadequate fiber intake.
D. Bleeding gums are more commonly associated with vitamin C deficiency (scurvy) rather than fiber deficiency, which does not have a direct impact on gum health.

A. Administering the feeding through a syringe barrel by gravity is an appropriate method for intermittent feedings. It is important to control the rate of administration, and gravity is commonly used for this purpose in tube feedings.
B. Aspirating gastric residuals to check for the amount of remaining formula is a standard practice before administering a tube feeding. The nurse should typically hold off on the feeding if the residual volume exceeds a certain threshold, typically 250-500 mL depending on facility guidelines. However, 50 mL of residual would not typically be a concern.
C. Allowing the client to rest in a supine position during feeding is unsafe. The client should be kept in a semi-Fowler's position (at least 30-45 degrees) to reduce the risk of aspiration and ensure that the feeding is properly digested.
D. Irrigating the NG tube with tap water after feeding is acceptable. It is common to use tap water to ensure that the tube is patent and clear, unless specific guidelines suggest otherwise.