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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.


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Related Questions

Correct Answer is D

Explanation

A. Discard the client's last void of the collection time period: The last void must be saved, as it is part of the 24-hr collection.

B. Include toilet paper with the collected urine: Toilet paper must not be included; it contaminates the specimen.

C. Save the first void at the start of the collection time period: The first void is discarded to start the timing and ensure that only the urine produced during the 24 hours is collected.

D. The nurse should discard the first void to obtain an accurate specimen: This is the correct protocol for accurate timing and collection.

Correct Answer is B

Explanation

A. Provide assistance to bathroom: This is appropriate if the client feels the urge but not the priority when there’s a concern for urinary retention.

B. Perform a bladder scan: This is the first step in assessment to determine if the bladder is full and retention is present before taking further action.

C. Offer the client fluids: Fluids help with hydration but not necessarily with retention if the bladder is already full.

D. Insert an indwelling urinary catheter: This is an invasive intervention and should only be done after confirming urinary retention with a scan.

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