Covering Continuous and Intermittent Feeding Protocols Aspiration Prevention
Strategies Tube Placement Verification Radiographic Confirmation Gastric
Residual Volume Monitoring pH Testing Clinical Decision Making Dysphagia
Management Nasointestinal and Nasogastric Tube Selection Patient Positioning
Fowler Technique Infection Control Formula Handling Time Limits Elemental
Formula Indications Gastrointestinal Dysfunction Management Social and
Psychosocial Interventions Nursing Assessment Techniques Medication
Administration via Enteral Tubes Complication Recognition Exam Questions
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A nurse is preparing to administer a continuous enteral tube feeding to a client. The nurse
should take which of the following actions to prevent a complication of the tube feeding?
A. Limit the time the formula hangs to 8 hours.
B. Flush the tube every 8 hours.
C. Deliver the formula at a brisk rate.
D. Allow the feeding bag to empty before refilling it.
A. Limit the time the formula hangs to 8 hours.
Formula that hangs longer than 12 hours for an open system & 48 hours for a closed system is
at risk for spoilage of the formula or bacterial contamination, typically manifested as diarrhea.
The nurse is administering an enteral tube feeding to a client. Which of the following actions
should the nurse take to prevent aspiration?
, A. Flush the feeding tube with 30mL of water.
B. Add blue food coloring to the enteral formula.
C. Ensure the formula is at room temperature.
D. Place the client in Fowler's position.
D. Place the client in Fowler's position.
Positioning a client in Fowler's position during a tube feeding can reduce the risk of
regurgitation, which can lead to aspiration. If Fowler's is uncomfortable or contraindicated for
the client, elevate the head of the client's bed to at least 30 degrees.
A nurse is inserting a nasogastric tube for a client & asks the client to flex their head toward
their chest after the tube passes through the nasopharynx. This action facilitates proper
insertion of the tube by achieving which of the following?
A. Closing off the glottis.
B. Preventing curling of the tube in the mouth.
C. Allowing the client to breathe through the mouth.
D. Opening the lower esophageal sphincter.
A. Closing off the glottis.
This action prohibits the tube from entering the trachea by closing it off & opening the
esophagus.