The nurse notes that a child with swallowing difficulty is receiving a continuous tube feeding. The child is very active and the feeding frequently gets interrupted because the tube becomes disconnected
What should the nurse discuss with the physician about the tube feeding?
A) The nurse should ask the physician if the patient could receive total parenteral nutrition.
B) The nurse should ask the physician if the patient could receive bolus rather than continuous tube feedings.
C) The nurse should ask the physician if the patient could receive the tube feedings during the night rather than continuously during all hours.
D) The nurse should ask the physician if the patient could be given oral rather than tube feedings.
E) The nurse should ask the physician if the patient could be given a sedative in order to prevent disruption of the tube feedings.
Ans: B, C
A bolus feeding is a specified amount of feeding solution that is given at specific intervals, usually over a short period of time such as 15 to 30 minutes, and is given via a syringe, feeding bag, or infusion pump. Continuous feedings are given at a slower rate over a longer period of time. In some cases, the feeding may be given during the night so that the child can be free to move about and participate in activities during the day. Either of these methods could help in the disruption of the feedings. Total parenteral nutrition is intravenous feeding and cannot be given for extended periods of time, nor would it help the active child. The child has a swallowing difficulty so oral feedings are not possible at this time. Sedatives would be considered a chemical restraint if given for this purpose.
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