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?
Flush the tubing with 10 mL water every 6 hr.
Administer the feeding by gravity drip.
Replace the bag and tubing every 24 hr.
Heat the formula prior to infusion.
The Correct Answer is A
A. Flushing the tubing with water at regular intervals helps prevent the buildup of formula residue and maintains tube patency. This is especially important with high-viscosity formulas, which are more prone to clogging small-bore tubes.
B. Administering the feeding by gravity drip is a method of delivery and does not directly address the prevention of tubing clogging.
C. While replacing the bag and tubing every 24 hours is a standard practice to reduce the risk of bacterial contamination, it does not specifically prevent tubing clogging.
D. Heating the formula prior to infusion may improve its flow characteristics but does not address the prevention of tubing clogging. Heating formula should be done according to manufacturer guidelines to avoid denaturation of nutrients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A hoarse voice can indicate difficulty swallowing or dysphagia, as aspiration of food or liquid into the airway can cause irritation and inflammation of the vocal cords.
B. Expressive aphasia is a language disorder characterized by difficulty expressing language verbally or in writing and is not directly related to dysphagia.
C. Continuous smiling is not typically associated with dysphagia and may indicate a different neurological or psychological issue.
D. Weight gain is not a direct manifestation of dysphagia but may occur due to other factors such as decreased mobility or changes in dietary habits.
Correct Answer is A
Explanation
A. Eating cold or room temperature foods can help reduce nausea and may be better tolerated by individuals undergoing chemotherapy.
B. Lying down after eating may worsen nausea, particularly in individuals undergoing chemotherapy. It is generally recommended to remain upright for at least 30 minutes after eating to aid digestion.
C. Carbohydrates are often easier to tolerate than fatty or greasy foods when experiencing nausea. Therefore, reducing carbohydrates in the diet may not be advisable for managing chemotherapy-induced nausea.
D. Eating before chemotherapy may exacerbate nausea, as chemotherapy can cause nausea and vomiting shortly after administration. It is generally recommended to eat light, bland foods and avoid heavy meals before chemotherapy.
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