A nurse is preparing to administer an intermittent bolus enteral feeding to a client via a nasogastric (NG) tube. The client is currently resting in a supine position. Arrange the following nursing actions in the correct sequence from first to last.
- 1Elevate the head of the client's bed to at least 30 to 45 degrees.
- 2Verify the correct placement of the nasogastric tube.
- 3Aspirate the stomach contents to measure the gastric residual volume.
- 4Flush the nasogastric tube with 30 mL of water.
- 5Administer the prescribed volume of the enteral feeding formula.
Cevap
The correct sequence is: Elevate the head of the bed, verify tube placement, check the gastric residual volume, flush the tube with water, and finally administer the feeding formula.
The safe administration of an enteral feeding requires a logical progression that prioritizes airway protection. Elevating the head of the bed is the critical first step to prevent aspiration. Once positioned safely, the nurse must verify the tube is in the stomach, not the airway. After placement is confirmed, checking the gastric residual volume ensures the client is digesting previous feedings and can tolerate more volume. The tube is then flushed to confirm patency and clear any acidic stomach contents from the line before the actual feeding formula is finally administered.
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Safe administration of enteral tube feedings