A nurse is caring for a client who has a small-bore jejunostomy tube and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?
Replace the bag and tubing every 24 hr.
Flush the tubing with 10 mL water every 6 hr.
Administer the feeding by gravity drip.
Heat the formula prior to infusion.
The Correct Answer is B
A) While it's important to change the feeding bag and tubing regularly to pr’vent bacterial growth and contamination, replacing them every 24 hours may not be necessary unless otherwise indicated by facility policy or if there are signs of contamination or malfunction. Routine replacement every 24 hours is not specifically indicated for preventing tubing clogging.
B) Flushing the tubing with water every 6 hours is an effective method to prevent clogging, especially when using a high-viscosity formula. Flushing helps ensure that the formula does not solidify or adhere to the inner walls of the tubing, maintaining its patency and preventing obstruction.
C) Administering the feeding by gravity drip is a method of delivery rather than a preventive measure against tubing clogging. While gravity drip administration may be appropriate for certain types of tube feedings, it does not directly address the prevention of tubing clogging.
D) Heating the formula prior to infusion may help improve its flow characteristics, especially if the formula has thickened due to being refrigerated. However, this action alone may not be sufficient to prevent tubing clogging. Flushing the tubing with water at regular intervals is a more direct and effective preventive measure in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) ”atin“ blueberries every morning is n”t specifically related to managing a goiter. While blueberries are nutritious and may be part of a balanced diet, they do not have a direct impact on goiter management. Goiter management typically involves ensuring an adequate intake of iodine, which is not a significant component of blueberries.
B) Eating more tuna is an appropriate choice for managing a goiter. Tuna is a good source of iodine, an essential micronutrient for thyroid function. Adequate iodine intake can help prevent or manage goiter, especially in cases where the goiter is due to iodine deficiency. Including tuna in the diet can contribute to meeting iodine requirements.
C) Eating more red meat is not necessarily indicated for managing a goiter. While red meat contains nutrients such as iron and protein, its role in managing goiter is less direct compared to foods rich in iodine. While red meat can be part of a balanced diet, it does not specifically address iodine deficiency, which is a common cause of goiter.
D) Eating bananas for a snack is not specifically related to managing a goiter. While bananas are a source of various nutrients, they do not have a direct impact on thyroid function or goiter management. Although maintaining overall nutritional health is important, focusing on foods rich in iodine, like tuna, is more relevant for managing goiter.
Correct Answer is C
Explanation
A) Folic acid deficiency is not typically associated specifically with a vegan diet. While folate (the natural form of folic acid) is found in higher amounts in animal products like liver, it can also be obtained from plant-based sources such as dark leafy greens, beans, and fortified grains. Therefore, while it's essential for vegans to ensure an adequate intake of folate, deficiency is not necessarily more common in this population compared to others.
B) Vitamin C deficiency is not typically associated specifically with a vegan diet. Vitamin C is abundant in many fruits and vegetables, which are staples of a vegan diet. As long as the individual consumes a variety of fresh produce, they can usually meet their vitamin C needs.
C) Vitamin D deficiency may be more common in individuals following a vegan diet. Vitamin D is primarily found in animal products like fatty fish, liver, and fortified dairy products. While some vegan sources of vitamin D exist, such as fortified plant-based milk and mushrooms exposed to ultraviolet (UV) light, they may not provide adequate amounts for some individuals, especially those with limited sun exposure, which is another source of vitamin D synthesis.
D) Magnesium deficiency is not typically associated specifically with a vegan diet. Magnesium is found in a wide variety of foods, including nuts, seeds, whole grains, and leafy green vegetables, which are commonly consumed in a vegan diet. As long as the individual includes these foods regularly in their diet, they are unlikely to develop a magnesium deficiency solely due to being vegan.
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