A nurse is preparing to administer an intermittent bolus enteral feeding to a client via a nasogastric (NG) tube. To reduce the risk of aspiration and maintain tube patency, arrange the following steps in the correct order. All options must be used.
- 1Elevate the head of the bed to 30 to 45 degrees.
- 2Verify tube placement and assess gastric residual volume.
- 3Flush the nasogastric tube with 30 mL of water.
- 4Administer the prescribed enteral feeding.
- 5Flush the nasogastric tube with water after the feeding.
Cevap
The correct sequence is: Elevate the head of the bed, verify tube placement and assess residual volume, flush the tube with water, administer the feeding, and finally flush the tube again.
The primary goal during enteral feeding is the reduction of risk potential, specifically preventing aspiration and tube occlusion. Therefore, the nurse must first elevate the head of the bed to physically protect the airway. Next, the nurse verifies the tube placement and checks gastric residual volume to ensure physiological readiness. Once airway safety and placement are confirmed, the nurse flushes the tube to establish patency, administers the feeding, and finally flushes the tube again to clear the formula and prevent mechanical clogging.
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Anahtar Kavram
Enteral Feeding Safety and Aspiration Precautions