A nurse is preparing to administer an intermittent bolus enteral feeding via a nasogastric (NG) tube to an adult client. In what order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence from first to last.
- 1Elevate the head of the client's bed to at least 30 to 45 degrees.
- 2Aspirate stomach contents to verify tube placement and assess gastric residual volume.
- 3Flush the nasogastric tube with 30 mL of water.
- 4Administer the prescribed enteral feeding formula by gravity flow.
- 5Flush the nasogastric tube with an additional 30 mL of water.
Cevap
The correct sequence is to first elevate the head of the bed, then verify tube placement and check residual volume, flush the tube with water, administer the feeding formula, and finally flush the tube with water again.
Safe administration of an intermittent bolus enteral feeding requires a systematic approach to prevent severe complications such as aspiration or tube occlusion. The nurse must initially elevate the head of the bed to at least 30 to 45 degrees to protect the airway. Next, verifying tube placement and assessing the gastric residual volume ensures the tube remains in the stomach and the client is tolerating previous feedings. Once safety is confirmed, flushing the tube with 30 mL of water confirms patency. The formula is then administered by gravity to prevent rapid infusion complications like dumping syndrome or cramping. Finally, a post-feeding flush clears the viscous formula from the tube, preventing clogs and bacterial growth.
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Procedural sequencing for safe enteral nutrition administration