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The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube

1 Jahrs vor
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2. a. Small-bore nasointestinal tube is best for feeding. This reduces the risk of aspiration.
b. Because the tube in is the intestine, initial tube placement is verified by x-ray film.
c. Begin tube feedings with a polymeric (10 to 2 kcal/mL) whole-nutrient formula. Mrs. Cooper does not have any contraindications such as dysfunctional gastrointestinal absorption, liver failure, pulmonary disease, or human immunodeficiency virus (HIV) infection to using this type of formula.
d. Complications that Mrs. Cooper needs to be assessed for include aspiration, diarrhea, constipation, abdominal cramping, nausea, vomiting, delayed gastric emptying, fluid overload, hyperosmolar dehydration, and serum electrolyte imbalances.

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Which assessment would the nurse perform prior to inserting a nasogastric tube for enteral feedings?

For administering enteral feedings via nasoenteric tube, the nurse should first place the patient in high-Fowler's position or elevate the head of the bed at least 30 degrees. The nurse should then verify the tube placement by attaching the syringe and aspirating 5 mL of gastric contents.

Which hang time would be the maximum allowed for enteral feeding?

Hang time for BTF needs to be limited to 2 hours. Powder formulas once prepared should be ideally used within 4 hours of preparation. Sterile liquid RTH formulas offer increased hang times of up to 48 hours.

Which test should be performed to confirm the correct placement of a nasogastric feeding tube?

Auscultation is most often used at the bedside to check for appropriate placement of a nasogastric tube. Sound generated by air blown through the tube is used to determine tube placement in the gastrointestinal tract.
When beginning enteral feedings, monitor the patient for feeding tolerance. Assess the abdomen by auscultating for bowel sounds and palpating for rigidity, distention, and tenderness. Know that patients who complain of fullness or nausea after a feeding starts may have higher a GRV.

nurse assessing patient receiving enteral feedings small-bore nasogastric tube

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