The nurse is administering a bolus tube feeding. Which strategy ...

[Jipu 123]

The nurse is administering a bolus tube feeding. Which strategy will be the most effective to reduce the risk of a clogged feeding tube?
 
  1. Flushing the tubing with water before and after feedings and medications
  2. Allowing the feeding container to run dry before adding the next container
  3. Crushing solid medications and mixing them with formula when administering
  4. Aspirating stomach contents frequently to check placement

Question 2

Which feeding type would be best for the client with the jejunostomy tube in place?
 
  1. Intermittent feedings
  2. Bolus intermittent feedings
  3. Continuous feedings using a closed system
  4. Cyclic feedings using an open system

[tennis14576]

Answer to Question 1

Correct Answer: 1

The most effective strategy for preventing clogged feeding tubes is flushing the tubing with water before and after administering feedings and medications. Allowing the feeding container to run dry increases the risk of clogging. Medications should never be mixed with formula, but should be mixed with water to reduce the risk of clogging. Frequent aspiration of stomach contents increases the risk of a clogged feeding tube.

Answer to Question 2

Correct Answer: 3

When the tube is placed in the jejunum, the best method of administering a feeding is via continuous feeding using a closed system, to reduce the risk of pathogen exposure. The jejunum is less tolerant of large quantities of feeding quickly administered, so bolus or intermittent feedings would be contraindicated. Cyclic feedings may be considered, but a closed system is better than an open system for this application.