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38.A patient receiving 70 mL of tube feeding per hour has a residual amount of 120 mL. What action should the nurse take?

a. Slow the feeding to 35 mL/hr.
b. Continue the feeding as ordered.
c. Increase the feeding to 100 mL/hr.
d. Hold the feeding, and notify the physician.

1 Answer

2 votes

Final answer:

The correct response is to hold the tube feeding and notify the physician due to the potential risks associated with high residual volumes such as aspiration or discomfort.

Step-by-step explanation:

In response to the question regarding a patient receiving 70 mL of tube feeding per hour and having a residual amount of 120 mL, the appropriate action would be to hold the feeding, and notify the physician. A high residual volume can indicate that the patient's stomach is not emptying properly which could lead to potential complications like aspiration or discomfort. Therefore, option d is the safest and most appropriate action to take in this situation.

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