A practical nurse in a long-term care facility is preparing to administer an intermittent enteral tube feeding via a nasogastric tube to a client who is recovering from a cerebrovascular accident (stroke). In what order should the nurse perform the following actions? Arrange the steps from first to last.
- 1Elevate the head of the client's bed to at least 30 degrees.
- 2Aspirate gastric contents to verify tube placement and measure residual volume.
- 3Return the aspirated gastric residual volume into the stomach.
- 4Flush the nasogastric tube with 30 mL of water.
- 5Administer the prescribed intermittent enteral feeding formula.
Cevap
The correct sequence for administering an intermittent enteral feeding is to first elevate the head of the bed to prevent aspiration, then aspirate to verify placement and check residuals, return the residuals to the stomach, flush the tube to ensure patency, and finally administer the feeding formula.
The correct sequence prioritizes client safety by first ensuring proper positioning to prevent aspiration. Following positioning, verifying tube placement and assessing gastric residual volume are essential before introducing any fluids. Returning the residual prevents electrolyte loss, and flushing ensures the tube is patent before the formula is administered.
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Anahtar Kavram
Basic Care and Comfort: Enteral Nutrition Administration Sequence