Quiz: Administering a Tube feeding
The nurse is preparing to administer an intermittent feeding to a client who has a nasogastric feeding tube. Place the following steps in the correct order. Use all options.
-Position the client with the head of bed elevated 30 to 45̊ degrees. -Verify correct tube placement. -Aspirate all gastric contents. -Verify that gastric residual volume is less than 200 mL. -Flush the tube with 30 mL water.-Administer the feeding.
The nurse is administering an intermittent tube feeding using a gravity set-up and open feeding bag system. At what level should the nurse place the feeding bag on the pole?
12 in (30 cm) above the stomach.
The nurse has finished aspirating the gastric contents before administering a prefilled, continuous tube feeding. At this point in the procedure, how much sterile water would the nurse use to flush the tube?
30 ml
The nurse is providing a continuous tube feeding for a client. At what angle should the head of the bed be set during the feeding?
30 to 45 degrees.
A client is receiving a continuous tube feeding. Which accurately describes an aspect of this procedure?
A feeding pump is used for a continuous feeding.
The nurse is administering an intermittent tube feeding using a gravity set-up and open feeding bag system. After checking tube placement, which action would the nurse take next?
Check the residual (the amount of feeding left in the stomach from the last feeding).
The nurse is preparing to administer an intermittent feeding to a client who has a feeding tube. The nurse is unable to aspirate gastric contents and realizes that the tube is clogged. Which action is correct?
Connect a syringe filled with warm water to the feeding tube and flush it out using gentle pressure.
When administering a continuous tube feeding using a feeding pump and closed tube feeding system, the nurse plans to check for residual at which frequency?
Every 4 to 6 hours.
The nurse is administering an intermittent tube feeding to a client via gravity using an open feeding bag system. What step would the nurse perform when the feeding bag is empty?
Flush the feeding bag with 30 mL water.
The charge nurse is observing a new nurse care for a client who is receiving a continuous feeding through a nasogastric feeding tube. Which action by the new nurse would require intervention by the charge nurse?
The new nurse places the client in the left lateral recumbent position.
When monitoring a client with a continuous tube feeding, how often should the nurse confirm placement of the tube?
every 4 to 6 hours
The nurse is using a large syringe to administer an intermittent feeding to a client who has a nasogastric feeding tube. Which method should the nurse use to increase the flow rate of the formula?
raise the height of the syringe
Which should the nurse advise the client to do following successful administration of a tube feeding?
sit up for 1 hour
The nurse provides the client with a gravity feeding via a gastrostomy tube. Which action is correct?
Allow the feeding to infuse slowly from the feeding bag.
A nurse enters a client's room to perform a tube feeding. Which nursing action should be performed first?
Aspirate stomach contents and check pH.