How it Works
Try Naxlex NCLEX-RN (Free-Trial)

When irrigating a percutaneous endoscopic gastrostomy (PEG) tube with an intermittent bolus feeding which of the following steps should be taken?

A.

Remove the PEG tube from the stoma and clean it with soap and water.

B.

Administer the bolus feeding through the PEG tube without flushing it first.

C.

Use a syringe to flush the tube with 30 m of water before and after the bolus feeding

D.

Skip the flushing step of the PEG tube is already patent

Answer and Explanation

The Correct Answer is C

A. Remove the PEG tube from the stoma and clean it with soap and water: The PEG tube is a surgically placed device and should never be removed by the nurse unless ordered or in an emergency (e.g., dislodgement).

B. Administer the bolus feeding through the PEG tube without flushing it first:  Flushing before and after prevents clogging and ensures tube patency.

C. Use a syringe to flush the tube with 30 mL of water before and after the bolus feeding: This is the standard protocol to maintain tube patency and prevent clogging.

D. Skip the flushing step if the PEG tube is already patent:  Even if the tube appears patent, flushing before and after feeds is still necessary to prevent build-up and blockage.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is B

Explanation

A. 8.0: This is more consistent with intestinal or respiratory tract placement, not gastric.

B. 4.0: A pH of ≤5 confirms that the tube is in the stomach, especially if aspirate is green or tan.

C. 6.5: This could indicate pulmonary or small bowel placement.

D. 7.5: This is likely too alkaline, suggesting placement in the respiratory tract or intestines.

Correct Answer is D

Explanation

A. Symphysis pubis: This is not used in NG tube measurement; it’s used in bladder catheterization or pelvic assessments.

B. Umbilicus: Not part of the measurement for NG tube insertion.

C. Brachial artery: Not relevant to NG tube placement.

D. Xiphoid process: This is the correct anatomical landmark used to estimate the proper length for NG tube placement—from the nose to the ear to the xiphoid process ensures the tube reaches the stomach.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register