The nurse is preparing to administer an intermittent enteral feeding to a client via a nasogastric tube. In what order should the nurse perform the following actions? (Arrange the steps in the correct sequence from first to last.)
- 1Position the client with the head of the bed elevated 30 to 45 degrees.
- 2Verify the correct placement of the nasogastric tube.
- 3Aspirate and measure the gastric residual volume.
- 4Flush the nasogastric tube with 30 mL of water.
Answer
The correct sequence is to first elevate the head of the bed, then verify tube placement, next check the gastric residual volume, and finally flush the tube with water.
Safe administration of enteral feedings requires a strict sequence to prevent aspiration and ensure proper digestion. Positioning the client upright is the universal first step for airway protection. Once the client is safe, the nurse verifies the tube is in the correct location. After confirming placement, the nurse checks the residual volume to ensure the client is digesting properly. Finally, flushing the tube confirms patency immediately before initiating the feeding.
Step-by-Step Solution
Key Concept
Safe Enteral Nutrition Administration
Estimated Time:1m 0s