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 A
Explanation
A) Client is Rh negative and the newborn is Rh positive:
This is the correct response. Rho (D) Immunoglobulin, also known as RhoGAM, is administered to Rh-negative mothers who have given birth to Rh-positive infants. This medication helps prevent the mother's immune system from producing antibodies against Rh-positive blood cells, which could lead to hemolytic disease of the newborn in subsequent pregnancies. Administering RhoGAM in this scenario helps prevent sensitization of the mother's immune system to Rh-positive blood cells.
B) Client is Rh positive and the newborn is Rh negative:
Administering RhoGAM to an Rh-positive mother with an Rh-negative newborn would not be necessary because there is no risk of Rh incompatibility in this situation.
C) Client is Rh positive and the newborn is Rh positive:
Administering RhoGAM to an Rh-positive mother with an Rh-positive newborn would not be necessary because the mother and newborn share the same Rh factor, so there is no risk of Rh incompatibility.
D) Client is Rh negative and the newborn is Rh negative:
Administering RhoGAM to an Rh-negative mother with an Rh-negative newborn would not be necessary because there is no risk of Rh incompatibility in this situation.
Correct Answer is A
Explanation
Answer: A
Rationale:
A. Consume foods that are high in calcium: The DASH diet emphasizes the consumption of foods rich in calcium, as well as potassium and magnesium. Adequate calcium intake is important for managing hypertension, making this a key component of the diet.
B. Increase intake of refined carbohydrates: The DASH diet recommends reducing refined carbohydrates and focusing on whole grains. Refined carbohydrates can contribute to weight gain and adversely affect blood pressure, so increasing their intake is not advised.
C. Consume ten percent of total calories from saturated fat: The DASH diet suggests limiting saturated fat to less than 6-7% of total daily calories. Consuming ten percent of total calories from saturated fat exceeds the recommended amount and is not consistent with DASH guidelines.
D. Limit sodium intake to 3,200 milligrams per day: The DASH diet recommends limiting sodium intake to 1,500 milligrams per day, not 3,200 milligrams. Reducing sodium intake is crucial for controlling blood pressure and aligning with DASH diet principles.
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