Which feeding type would be best for the client with the jejunostomy tube in place?
1. Intermittent feedings
2. Bolus intermittent feedings
3. Continuous feedings using a closed system
4. Cyclic feedings using an open system
Correct Answer: 3
When the tube is placed in the jejunum, the best method of administering a feeding is via continuous feeding using a closed system, to reduce the risk of pathogen exposure. The jejunum is less tolerant of large quantities of feeding quickly administered, so bolus or intermittent feedings would be contraindicated. Cyclic feedings may be considered, but a closed system is better than an open system for this application.
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