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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 A

Explanation

A. Assist the client to the left Sims' position: This position uses gravity to promote flow into the rectum and colon and allows the enema to follow the natural direction of the colon.

B. Put on sterile gloves: Clean gloves are sufficient for enema administration. This is a clean, not sterile, procedure.

C. Hang the enema container 61 cm (24 in) above the anus: The correct height is no more than 45 cm (18 inches) to prevent rapid flow and discomfort.

D. Insert the tubing about 15 cm (6 in) into the anus: Insertion should be 7.5 to 10 cm (3 to 4 inches) in adults. Inserting 6 inches increases the risk of injury.

Correct Answer is C

Explanation

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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