A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system.
Which of the following interventions should the nurse include in the plan of care?<\/p>\n\n\n\n
A.
Maintain bed elevation at 20 degrees.<\/p>\n\n\n\n
B.
Flush the tubing with 30 mL of water every 4 hr.<\/p>\n\n\n\n
C.
Check for gastric residual every 12 hr.<\/p>\n\n\n\n
D.
Place enough formula in the container to last 18 hr.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is B. Flush the tubing with 30 mL of water every 4 hours.<\/strong><\/p>\n\n\n\n When a client is receiving continuous enteral tube feedings through an open system, maintaining proper care and ensuring the effectiveness of the feeding process is essential. Here\u2019s why option B is the best intervention:<\/p>\n\n\n\n Here\u2019s why the other options are not as appropriate:<\/p>\n\n\n\n In summary, flushing the tubing regularly is crucial for maintaining tube patency and patient hydration, making option B the most appropriate intervention for continuous enteral feedings through an open system.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system.Which of the following interventions should the nurse include in the plan of care? A.Maintain bed elevation at 20 degrees. B.Flush the tubing with 30 mL of water every 4 hr. C.Check for gastric residual every 12 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137305","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137305","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137305"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137305\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137305"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137305"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
\n
Flushing the tubing with 30 mL of water every 4 hours helps to prevent tube clogging. Enteral feeding tubes can become occluded with formula residue, which could obstruct the flow of the feeding solution. Regular flushing helps maintain patency and ensures that the feeding continues without interruption.<\/li>\n\n\n\n
Regular flushing also helps to maintain adequate hydration for the patient, as enteral feedings alone may not always provide sufficient fluids. The additional water ensures that the patient receives enough fluids to stay hydrated, which is crucial for overall health.<\/li>\n\n\n\n
Regular flushing is part of standard practice guidelines to ensure safe administration of enteral feedings. It aligns with best practices for preventing complications associated with tube feedings.<\/li>\n<\/ol>\n\n\n\n\n
The recommended bed elevation for patients receiving enteral feedings is typically 30 to 45 degrees. This elevation helps reduce the risk of aspiration and improves digestion. A 20-degree elevation may not be sufficient to prevent these risks.<\/li>\n\n\n\n
Gastric residuals are typically checked every 4 to 6 hours, not every 12 hours. Checking residuals more frequently helps assess tolerance to the feed and prevent complications such as aspiration or feeding intolerance.<\/li>\n\n\n\n
Open systems are prone to contamination, and formula should not be left at room temperature for extended periods. Typically, formula in an open system should be replaced every 4 to 6 hours to prevent bacterial growth and ensure patient safety.<\/li>\n<\/ul>\n\n\n\n