Author Question: The nurse is attempting to open an occluded PEG tube. Which of the following interventions requires ... (Read 40 times)

penza · **on:** Jul 23, 2018

The nurse is attempting to open an occluded PEG tube. Which of the following interventions requires re-education?

a. Flush the tube with a small amount of air
b. Flush the tube using a 50- to 60-mL syringe and 20 to 30 mL of warm water.
c. Reinsert the stylet to break up the clot.
d. Flush the tube with a carbonated beverage.

Question 2

The nurse is concerned about aspiration precautions when feeding her patient who has recently suffered a stroke. Which of the following procedures that the nurse performs would demonstrate a need for further education?

a. The nurse uses thickened liquids.
b. The nurse puts the bed at 30 degrees.
c. The nurse encourages slow eating.
d. The nurse has the patient alternate between food and sips of fluid.

mathjasmine · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Once the stylet is removed, it is never reinserted because it can puncture the intestine. If the tube becomes occluded, flush it with a small amount of air. If this is unsuccessful in removing the occlusion, flush the tube using a 50- to 60-mL syringe and 20 to 30 mL of warm water. If flushing the tube with water is ineffective, try carbonated beverages or pineapple juice if not contraindicated.

Answer to Question 2

ANS: B
During feeding, the head of the bed needs to be elevated at 45 degrees or higher. Liquids are thickened, and patients are encouraged to use slow-eating habits and to alternate between bites of food and sips of fluids to facilitate swallowing.