Chapter 14. Nutrient Delivery
MULTIPLE CHOICE
1. A nurse is caring for a client who has developed irritation to his feeding tube in the past.
Which of the following actions should the nurse take to prevent this from occurring?
1.Flush the tube.
2.Lubricate the tube before insertion.
3.Use an infusion pump.
4.Elevate the client’s bed.
ANS: 2
Chapter: Chapter 14, Nutrient Delivery
Objective: 1. Identify three routes used to deliver nutrients to clients and potential
complications with two of these routes.
Page: 251
Heading: Table 14-4 Feeding Complications and Prevention Strategies
Integrated Processes: Nursing Process
Client Need: Management of Care
Cognitive Level: Application
Concept: Safety
Difficulty: Difficult
Feedback
1 This is incorrect. The nurse may flush the tube per the instructions when the tube
is obstructed.
2 This is correct. To avoid irritation, the nurse may choose to use a softer tube or
lubricate the tube prior to insertion.
3 This is incorrect. Using an infusion pump may help maintain constant flow and
keep the tube from obstructing.
4 This is incorrect. Elevating the client’s head may help prevent regurgitation,
rather than help prevent tube irritation.
PTS: 1 CON: Safety
2. A nurse is caring for a client receiving tube feedings and medication. Which action should the
nurse take to appropriately administer the medication?
1. Add the medication directly to the feeding formula.
2. Give medication in capsule form.
3. Crush tablets and mix with sterile water.
4. Give all medications at once.
ANS: 3
Chapter: Chapter 14, Nutrient Delivery
Objective: 5. Describe suggested procedures for administering medications through feeding
tubes.
Page: 252
Heading: Clinical Application 14-2 Procedures for Administering Medications Through
Feeding Tubes
, Integrated Processes: Nursing Process
Client Need: Reduction of Risk Potential
Cognitive Level: Application
Concept: Safety
Difficulty: Moderate
Feedback
1 This is incorrect. Formula administration should be stopped prior to beginning
medication dosing.
2 This is incorrect. If possible, clients receiving enteral feeding should receive
medication in liquid form.
3 This is correct. Medication that cannot be procured in liquid form should be
crushed to a fine powder and mixed with sterile water. The only drugs that
should not be crushed are those listed as oral medications that should not be
crushed.
4 This is incorrect. Drugs should be administered separately, and the nurse should
flush with at least 15 mL of sterile water between each medication.
PTS: 1 CON: Safety
3. A nurse is educating parents of a pediatric client who will need to receive bolus feedings at
home. The client will be fed through an open system. Which will the nurse share with the
parents?
1. The feeding formula will be prepackaged, so all you will need to do is hang the
bag.
2. You will fill a bag with liquid formula for each feeding.
3. You will not be able to add additional fiber to your child’s feedings.
4. You will not be able to use commercially prepared products.
ANS: 2
Chapter: Chapter 14, Nutrient Delivery
Objective: 2. Discuss the kinds of commercial formulas available for oral and enteral
feedings.
Page: 248
Heading: Enteral Tube Feeding
Integrated Processes: Teaching and Learning
Client Need: Basic Care and Comfort
Cognitive Level: Application
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 This is incorrect. This describes a closed feeding system. Many medical centers
use closed systems for tube feedings in which commercially prepared bags or
containers of formula are ready to be hung and fed to clients.
2 This is correct. This describes an open system of feeding, which can be done by
clients at home.
3 This is incorrect. When using an open system of feeding, modular components,
such as additional fiber and protein, can be added to the feeding formula.
4 This is incorrect. Clients being fed through an open system may still be fed
MULTIPLE CHOICE
1. A nurse is caring for a client who has developed irritation to his feeding tube in the past.
Which of the following actions should the nurse take to prevent this from occurring?
1.Flush the tube.
2.Lubricate the tube before insertion.
3.Use an infusion pump.
4.Elevate the client’s bed.
ANS: 2
Chapter: Chapter 14, Nutrient Delivery
Objective: 1. Identify three routes used to deliver nutrients to clients and potential
complications with two of these routes.
Page: 251
Heading: Table 14-4 Feeding Complications and Prevention Strategies
Integrated Processes: Nursing Process
Client Need: Management of Care
Cognitive Level: Application
Concept: Safety
Difficulty: Difficult
Feedback
1 This is incorrect. The nurse may flush the tube per the instructions when the tube
is obstructed.
2 This is correct. To avoid irritation, the nurse may choose to use a softer tube or
lubricate the tube prior to insertion.
3 This is incorrect. Using an infusion pump may help maintain constant flow and
keep the tube from obstructing.
4 This is incorrect. Elevating the client’s head may help prevent regurgitation,
rather than help prevent tube irritation.
PTS: 1 CON: Safety
2. A nurse is caring for a client receiving tube feedings and medication. Which action should the
nurse take to appropriately administer the medication?
1. Add the medication directly to the feeding formula.
2. Give medication in capsule form.
3. Crush tablets and mix with sterile water.
4. Give all medications at once.
ANS: 3
Chapter: Chapter 14, Nutrient Delivery
Objective: 5. Describe suggested procedures for administering medications through feeding
tubes.
Page: 252
Heading: Clinical Application 14-2 Procedures for Administering Medications Through
Feeding Tubes
, Integrated Processes: Nursing Process
Client Need: Reduction of Risk Potential
Cognitive Level: Application
Concept: Safety
Difficulty: Moderate
Feedback
1 This is incorrect. Formula administration should be stopped prior to beginning
medication dosing.
2 This is incorrect. If possible, clients receiving enteral feeding should receive
medication in liquid form.
3 This is correct. Medication that cannot be procured in liquid form should be
crushed to a fine powder and mixed with sterile water. The only drugs that
should not be crushed are those listed as oral medications that should not be
crushed.
4 This is incorrect. Drugs should be administered separately, and the nurse should
flush with at least 15 mL of sterile water between each medication.
PTS: 1 CON: Safety
3. A nurse is educating parents of a pediatric client who will need to receive bolus feedings at
home. The client will be fed through an open system. Which will the nurse share with the
parents?
1. The feeding formula will be prepackaged, so all you will need to do is hang the
bag.
2. You will fill a bag with liquid formula for each feeding.
3. You will not be able to add additional fiber to your child’s feedings.
4. You will not be able to use commercially prepared products.
ANS: 2
Chapter: Chapter 14, Nutrient Delivery
Objective: 2. Discuss the kinds of commercial formulas available for oral and enteral
feedings.
Page: 248
Heading: Enteral Tube Feeding
Integrated Processes: Teaching and Learning
Client Need: Basic Care and Comfort
Cognitive Level: Application
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 This is incorrect. This describes a closed feeding system. Many medical centers
use closed systems for tube feedings in which commercially prepared bags or
containers of formula are ready to be hung and fed to clients.
2 This is correct. This describes an open system of feeding, which can be done by
clients at home.
3 This is incorrect. When using an open system of feeding, modular components,
such as additional fiber and protein, can be added to the feeding formula.
4 This is incorrect. Clients being fed through an open system may still be fed
