Question

A nurse is caring for a clients who is receiving intermittent enteral feedings every 4 hours via and NG tube. Which of the following actions should the nurse take to reduce the risk for aspiration?

A.) Check placement of the NG tube once per day.
B.) Place the client in a semi-Fowler's position.
C.) Flush the tubing with 20 mL of water prior to each feeding.
D.) Administer the formula chilled.

Answer 1

The nurse can reduce the risk for aspiration during intermittent enteral feedings by positioning the client with the head of the bed elevated, ensuring the NG tube placement is correct, and checking residual volume. Formula should be at room temperature and the client's tolerance to feedings should be regularly assessed.

Step-by-step explanation:

To reduce the risk of aspiration in clients who are receiving intermittent enteral feedings via an NG tube, it is important to take certain precautions. One key action the nurse can take is to ensure the client is in an appropriate position, typically with the head of the bed elevated to at least 30 to 45 degrees. This position helps prevent gastric contents from flowing back into the esophagus and trachea, thus reducing the risk of aspiration. Checking the placement of the NG tube before feeding and monitoring the residual volume can also help minimize the risk.

Contrary to administering the formula chilled, it should be at room temperature to avoid discomfort and potential changes in gastric emptying time. Moreover, regular assessment of the client's tolerance to the feedings is critical. Signs of intolerance may include nausea, vomiting, abdominal distention, or changes in vital signs, which could indicate an increased risk for aspiration.

Adequate training on the use of equipment and tubing, understanding the properties of the simulated chyme (such as the consistency of cooked oatmeal/rice), and appropriate cleaning procedures (using water and paper towels) are essential for safe feeding practices.