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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Turkey is a lean source of protein but is not particularly high in fiber.

B. Cooked peas are high in fiber and are a good choice for individuals with diverticular disease, as fiber can help prevent constipation and reduce the risk of diverticulitis flare-ups.
C. Low-fat plain yogurt is a good source of protein and calcium but is not particularly high in fiber.

D. Cooked white rice is low in fiber compared to other grains and legumes and may not provide significant benefits for individuals with diverticular disease.

A. Take a folic acid supplement while on this medication. B. Increase vitamin C intake while taking this medication. C. Avoid taking this medication with milk products. D. Eliminate raw fruits and vegetables until 2 weeks after completing this medication.

Correct Answer is C

Explanation

A. Tetracycline antibiotics do not interfere with folic acid absorption, so there's no need to specifically take a folic acid supplement while on this medication.
B. Tetracycline antibiotics can bind to calcium, iron, and other minerals in the gastrointestinal tract, reducing their absorption. Increasing vitamin C intake is not necessary and does not affect the absorption of tetracycline.

C. Taking tetracycline with milk products or other dairy foods can significantly decrease its absorption and effectiveness. It's essential to advise the client to avoid taking tetracycline with milk, yogurt, cheese, or other dairy products.
D. There's no need to eliminate raw fruits and vegetables while taking tetracycline. It's important to maintain a balanced diet unless otherwise instructed by a healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching to a client who has diverticular disease. Which of the following food choices should the nurse recommend as having the highest fiber content?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for tetracycline. Which of the following nutritional considerations should the nurse include in the teaching?

Correct Answer is C

Explanation

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