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Zorluk: KolayBasic Care and Comfort

A nurse is preparing to reposition a bedridden client who is receiving continuous enteral tube feedings. Which of the following actions is most appropriate for the nurse to take?

  1. Pause the enteral feeding pump before lowering the head of the bed to turn the client.Cevap
  2. B
    Lower the head of the bed to a completely flat position while allowing the feeding to continue.
  3. C
    Delegate the task of pausing the enteral feeding pump to an unlicensed assistive personnel (UAP).
  4. D
    Position the client flat on their right side and resume the continuous feeding.

Cevap

Pause the enteral feeding pump before lowering the head of the bed to turn the client.
The correct action is to pause the enteral feeding pump before lowering the head of the bed. Clients receiving continuous enteral tube feedings are at a high risk for aspiration. Standard practice dictates that the head of the bed should be elevated to at least 30 to 45 degrees while the feeding is infusing. When repositioning or providing care requires the bed to be lowered, the nurse must first pause the feeding to prevent regurgitation and aspiration of the stomach contents into the lungs.

Adım Adım Çözüm

1
Identify the primary risk associated with continuous enteral tube feedings.
The most significant risk is regurgitation of stomach contents and subsequent aspiration into the lungs.
Enteral feedings bypass the upper digestive safety mechanisms, requiring gravity to help keep food in the stomach.
2
Recall the standard positioning required during continuous enteral feedings.
The head of the bed must be elevated to at least 30 to 45 degrees.
Elevation uses gravity to prevent reflux and aspiration.
3
Determine the necessary safety steps if the client must be laid flat for repositioning.
The nurse must pause the continuous feeding before lowering the head of the bed.
This temporarily stops the introduction of new formula while the protective effect of gravity is removed, keeping the airway safe.

Anahtar Kavram

Aspiration Prevention and Client Positioning During Enteral Feedings
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Konular

Basic Care and Comfort

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