A client who recently experienced a cerebrovascular accident requires an intermittent bolus enteral feeding through an established nasogastric (NG) tube. Place the following nursing actions in the correct sequence for safely delivering this nutrition. (Arrange the steps in chronological order.)
- 1Elevate the head of the client's bed to a minimum of 30 degrees.
- 2Aspirate the gastric contents to assess the residual volume.
- 3Reinstill the aspirated gastric residual volume into the stomach.
- 4Allow the prescribed enteral feeding formula to flow into the tube by gravity.
- 5Flush the nasogastric tube with 30 mL of sterile or purified water.
Cevap
The correct sequence is to first elevate the head of the bed, then measure the gastric residual volume, reinstill the aspirated volume, administer the feeding by gravity, and finally flush the tube with water.
The correct sequence prioritizes airway safety by positioning the client first. Next, the nurse assesses feeding tolerance by checking the residual volume. To maintain physiological balance, the residual is reinstilled. Only after these safety and assessment steps are completed is the feeding administered. Finally, flushing the tube ensures it remains patent for future use. This logical progression aligns with standard nursing care for enteral nutrition.
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Anahtar Kavram
Safe Administration of Enteral Nutrition