Final answer:
To prevent aspiration in enteral tube feedings, confirm proper tube placement with stomach content pH or x-ray, secure the tube, elevate the patient's head, check residual volume, and monitor the patient for signs of aspiration.
Step-by-step explanation:
To prevent aspiration when caring for a client receiving continuous enteral tube feedings, the nurse should take several precautions to ensure proper placement of the enteral tube. First, it is essential to confirm the tube's placement by checking the pH of the stomach contents or using an x-ray. Securing the tube firmly and monitoring its position regularly can help minimize dislodgement and reduce the risk of aspiration.
Prior to administering the feeding, the nurse should elevate the head of the client's bed to at least 30 to 45 degrees, which decreases the risk of regurgitation and aspiration. It is also important to check the residual volume in the stomach before feeding to ensure the previous meal has been adequately digested. Ongoing monitoring of the client for signs of discomfort, coughing, or changes in respiratory status can provide early detection of potential complications associated with aspiration.