A nurse is caring for a client who has a nasogastric tube and is receiving a continuous tube feeding with a high-protein formula. Which of the following actions should the nurse take to prevent the tubing from clogging?
Flush the tubing with 10 mL water every 4 hours.
Replace the bag and tubing every 24 hours.
Administer the feeding by gravity drip.
Heat the formula prior to infusion.
The Correct Answer is A
Choice A reason: Flushing the tubing with water every 4 hours can prevent the tubing from clogging by clearing any residual formula or medication from the lumen.
Choice B reason: Replacing the bag and tubing every 24 hours can prevent bacterial contamination, but it does not prevent the tubing from clogging.
Choice C reason: Administering the feeding by gravity drip can cause overfeeding, aspiration, or diarrhea, but it does not prevent the tubing from clogging.
Choice D reason: Heating the formula prior to infusion can cause bacterial growth, nutrient loss, or burns, but it does not prevent the tubing from clogging.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Dilute formula with 1 tablespoon of water is not a correct instruction for GER. Diluting formula can reduce the nutritional value and increase the volume of the feedings, which can worsen GER symptoms and cause dehydration and malnutrition.
Choice B reason: Place the newborn in a side-lying position if vomiting is not a correct instruction for GER. This position can increase the risk of aspiration, which is the inhalation of vomit into the lungs. Aspiration can cause pneumonia, respiratory distress, and death.
Choice C reason: Position the newborn at a 20-degree angle after feeding is a correct instruction for GER. This position can help prevent reflux by using gravity to keep the stomach contents down. The newborn should be kept upright for at least 30 minutes after each feeding.
Choice D reason: Provide a small feeding just before bedtime is not a correct instruction for GER. This can increase the likelihood of reflux during sleep, as the stomach will be full and prone to regurgitation. The last feeding should be given at least 2 to 3 hours before bedtime.
Correct Answer is C
Explanation
Choice A reason: Tuna can is not a safe food choice for a client who has food allergies because it may contain traces of other fish or shellfish that can trigger an allergic reaction. Tuna can should be avoided or checked for allergen labels before consuming.
Choice B reason: Gravy beef is not a safe food choice for a client who has food allergies because it may contain gluten, soy, or dairy products that can trigger an allergic reaction. Gravy beef should be avoided or checked for allergen labels before consuming.
Choice C reason: Apple pie is a safe food choice for a client who has food allergies because it is unlikely to contain common allergens, such as nuts, eggs, or milk. Apple pie is made from cooked apples, sugar, flour, and butter, which are low-risk ingredients for food allergies. Apple pie should be stored in the refrigerator or freezer after cooling to prevent spoilage.
Choice D reason: Bread is not a safe food choice for a client who has food allergies because it may contain gluten, wheat, or sesame seeds that can trigger an allergic reaction. Bread should be avoided or checked for allergen labels before consuming.
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