The nurse has finished providing a tube feeding to a client. What should the nurse document about this procedure? (SELECT ALL THAT APPLY)

Solution provided

Name of physician prescribing the feeding

Client tolerance of the feeding

Amount of solution

Duration of the feeding

Answer and Explanation

Correct Answer : A,C,D,E

A. Documenting the type of solution provided for tube feeding is essential for accurate record-keeping and continuity of care. This includes specifying the name and composition of the enteral formula used, such as standard polymeric, high-protein, elemental, or specialized formulas for specific medical conditions or nutritional needs.
C. Documenting the client's tolerance of the tube feeding is crucial for monitoring their response to the enteral nutrition. This includes assessing for signs of intolerance, such as nausea, vomiting, abdominal pain, bloating, diarrhea, or aspiration. Documenting tolerance helps guide adjustments to the feeding regimen and ensures patient safety and comfort.
D. Documenting the amount of solution administered during the tube feeding is essential for accurately monitoring the client's intake and ensuring that nutritional goals are met. This includes recording the volume of formula administered, as well as any additional flushes or medications given through the feeding tube.
E. Documenting the duration of the tube feeding session provides important information about the timing and frequency of feedings. This includes recording the start and end times of the feeding, as well as any interruptions or adjustments made during the procedure. Documenting the duration helps ensure consistency in the feeding regimen and facilitates effective communication among healthcare providers.
B. Documenting the name of the physician who prescribed the tube is not necessary.

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Correct Answer is C

Explanation

C. This allows healthcare providers to quickly administer treatments without the need for repeated venipuncture, which can be beneficial in various medical situations where time and vein preservation are critical.
A. Peripheral intravenous saline locks are not typically used to accommodate highly irritating or hyperosmolar solutions. Saline locks are used to maintain venous access without continuous infusion, and they are generally used with isotonic solutions to prevent complications such as phlebitis or infiltration.
B. The access is not very reliable when used for drawing samples repeatedly.
D. While peripheral intravenous saline locks can be used for intermittent administration of IV antibiotics or other medications, they are not typically used for prolonged IV antibiotic administration.

A. crush each tablet and mix with 20-30 mL of water or saline. B. use liquid medications when available. C. mix all medications, dilute with water and give them together. D. flush tube before beginning medication administration with 20-30 mL of water or saline. E. add medications directly to the tube feeding formula.

Correct Answer is ["B","D"]

Explanation

B. Liquid medications are generally preferred for administration through a feeding tube, as they do not require crushing or dissolving and can be easily administered. Using liquid medications reduces the risk of tube occlusion and ensures accurate dosing. Therefore, this procedure is appropriate for medications available in liquid form.

D. Flushing the tube before medication administration helps ensure patency and clears any residual feeding formula or medication from the tube. This step is essential to prevent clogging of the tube and ensure that the medication reaches the stomach or intestines. Therefore, flushing the tube with water or saline before medication administration is a standard procedure.
A. Crushing tablets and mixing them with water or saline can help ensure that the medication is in a form that can be administered through the gastrostomy tube. However, not all tablets are suitable for crushing, as some medications may have special formulations or coatings that should not be crushed.
Therefore, this procedure is appropriate for medications that are safe to crush and administer via a feeding tube.
C. Mixing medications can potentially alter their effectiveness or stability, so it is essential to follow guidelines and recommendations for medication administration through feeding tubes.
E. Adding medications directly to the tube feeding formula may be appropriate for certain medications that are compatible with the formula and do not require separate administration. However, not all medications can be safely mixed with feeding formula, as some medications may interact with the formula components or become less effective.

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The nurse has finished providing a tube feeding to a client. What should the nurse document about this procedure? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

A nurse caring for a client who has a peripheral intravenous saline lock understands that its purpose is to:

Correct Answer is C

Explanation

A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)

Correct Answer is ["B","D"]

Explanation

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