A client has been receiving tube feedings and is tolerating them ...

[nramada]

A client has been receiving tube feedings and is tolerating them very well. The health care pro-vider determines that the rate of the intermittent tube feedings may be advanced. The nurse pre-pares to:
 
  1. Increase the feedings by 50 mL/day
  2. Start an isotonic formula at half strength
  3. Infuse a bolus feeding over 5 to 10 minutes
  4. Begin feedings with 250 to 500 mL at each interval

Question 2

Food safety is a concern of a group of adults attending the community health clinic. The partici-pants identify to the nurse that they have seen a lot of reports on television about Escherichia coli and how dangerous it can be.
 
  When asked where the bacteria comes from, the nurse responds that a potential source of E. coli is:
  1. Sausage
  2. Soft cheeses
  3. Milk products
  4. Ground beef

[shewald78]

Answer to Question 1

ANS: 1
When a client is tolerating tube feedings well, the nurse should expect the health care provider to order the feedings to be increased by 50 mL/day to achieve needed volume and calories in six to eight feedings. Formula is started at full strength for isotonic formulas. Intermittent feedings are allowed to infuse over at least 20 to 30 minutes. Feedings should be begun with no more than 150 to 250 mL at one time.

Answer to Question 2

ANS: 4
E. coli may be contracted from undercooked meat, such as ground beef. Sausage is a potential source of botulism. Soft cheeses are a potential source of listeriosis, and milk products are a po-tential source of shigellosis.