A client with an established gastrostomy tube is scheduled to receive an intermittent bolus feeding. Arrange the following nursing actions in the correct sequential order from first to last.
- 1Elevate the head of the client's bed to at least 30 to 45 degrees
- 2Verify correct tube placement and check the gastric residual volume
- 3Flush the gastrostomy tube with 30 mL of water
- 4Administer the prescribed enteral feeding formula by gravity
- 5Flush the gastrostomy tube with an additional 30 mL of water and clamp the tube
Cevap
The correct sequence begins with elevating the head of the bed, followed by checking placement and residual, flushing the tube, administering the formula, and finally flushing the tube again before clamping.
Safe enteral feeding requires a logical progression that prioritizes airway protection (elevating the head of the bed), followed by clinical assessment (verifying placement and residuals), preparation (initial flush), execution (administering formula), and maintenance (final flush).
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Safe administration sequence for enteral tube feedings