{"id":142510,"date":"2024-09-22T06:26:46","date_gmt":"2024-09-22T06:26:46","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=142510"},"modified":"2024-09-22T06:26:48","modified_gmt":"2024-09-22T06:26:48","slug":"a-nurse-is-administering-continuous-enteral-feedings-for-a-client-through-a-percutaneous-esophageal-gastrostomy-peg-tube","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/22\/a-nurse-is-administering-continuous-enteral-feedings-for-a-client-through-a-percutaneous-esophageal-gastrostomy-peg-tube\/","title":{"rendered":"A nurse is administering continuous enteral feedings for a client through a percutaneous esophageal gastrostomy (PEG) tube."},"content":{"rendered":"\n<p>A nurse is administering continuous enteral feedings for a client through a percutaneous esophageal gastrostomy (PEG) tube. Which of the following actions should the nurse take?<\/p>\n\n\n\n<p>A.<br>Check gastric residuals every 8 hr.<\/p>\n\n\n\n<p>B.<br>Return gastric contents if residual is less than 250 mL.<\/p>\n\n\n\n<p>C.<br>Measure the pH of gastric residual every 24 hr.<\/p>\n\n\n\n<p>D.<br>Flush the tube with 15 mL of water every 4 hr.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>D. Flush the tube with 15 mL of water every 4 hr.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>When administering continuous enteral feedings through a percutaneous esophageal gastrostomy (PEG) tube, it is crucial to maintain tube patency and ensure the proper function of the feeding system. Flushing the tube with 15 mL of water every 4 hours serves several important purposes:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Preventing Clogs:<\/strong> PEG tubes can become obstructed by formula, medication residues, or food particles. Regular flushing helps to clear any potential blockages and maintains the patency of the tube, ensuring that feedings can be delivered without interruption.<\/li>\n\n\n\n<li><strong>Hydration:<\/strong> Enteral feedings can be concentrated and may not provide sufficient hydration. Flushing the tube introduces additional fluids, helping to prevent dehydration in the client, especially if they are unable to take oral fluids.<\/li>\n\n\n\n<li><strong>Monitoring Residuals:<\/strong> While the option mentions flushing every 4 hours, checking gastric residuals is also important but should be done more frequently than every 8 hours. Assessing residuals helps evaluate the tolerance of the feeding. If residuals exceed recommended thresholds (often around 250 mL), this may indicate delayed gastric emptying or intolerance to the feeding.<\/li>\n\n\n\n<li><strong>Protocol Compliance:<\/strong> Flushing is a standard nursing protocol for enteral feeding administration, and adherence to this practice ensures compliance with best practice guidelines for enteral nutrition.<\/li>\n<\/ol>\n\n\n\n<p>In contrast, the other options are less appropriate:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A<\/strong> (Check gastric residuals every 8 hr) is not optimal; more frequent assessments are recommended to ensure safe feeding practices.<\/li>\n\n\n\n<li><strong>B<\/strong> (Return gastric contents if residual is less than 250 mL) is misleading; generally, residuals should be returned unless otherwise specified, but monitoring trends is more critical than an arbitrary threshold.<\/li>\n\n\n\n<li><strong>C<\/strong> (Measure the pH of gastric residual every 24 hr) is also not a routine practice; while pH testing can help confirm placement or gastric contents, it is not required every 24 hours and should not be prioritized over regular flushing.<\/li>\n<\/ul>\n\n\n\n<p>Thus, flushing the tube regularly is essential for ensuring effective enteral feeding management and maintaining client safety.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is administering continuous enteral feedings for a client through a percutaneous esophageal gastrostomy (PEG) tube. Which of the following actions should the nurse take? A.Check gastric residuals every 8 hr. B.Return gastric contents if residual is less than 250 mL. C.Measure the pH of gastric residual every 24 hr. D.Flush the tube with [&hellip;]<\/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-142510","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142510","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=142510"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142510\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142510"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142510"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}