A nurse is caring for a client who is receiving enteral feedings through a nasogastric tube and has developed diarrhea. Which of the following actions should the nurse take?

Rationale A. Add yogurt to enteral feedings: While yogurt contains probiotics, adding it directly to enteral feedings can alter the formula’s consistency and increase the risk of tube clogging. It is not a standard intervention for diarrhea associated with enteral nutrition. B. Change to an enteral formula that has added fiber: Formulas with added fiber are beneficial for managing chronic diarrhea or constipation, but switching formulas should be guided by the provider or dietitian rather than implemented independently. C. Add water during tube flushes: Adding water helps maintain hydration and prevent tube clogging but does not directly address the underlying cause of diarrhea. While important for overall care, it is not the primary intervention to manage diarrhea. D. Slow down the instillation flow rate: Rapid administration of enteral feedings can overwhelm the gastrointestinal system and contribute to diarrhea. Slowing the flow rate allows for better tolerance, reduces osmotic load, and often resolves diarrhea associated with high-volume or fast feedings.