A patient is receiving intermittent enteral tube feedings. When introducing a feeding to this patient, what is the first thing the nurse needs to do?
a. Place the patient in a supine position.
b. Irrigate the tube with normal saline.
c. Check to see that the tube is in the proper position.
d. Introduce a small amount of fluid into the tube before the tube feeding.
C
The first step is verify tube placement; feedings instilled into a misplaced tube can cause serious injury or death. You will place the patient in Fowler's or high-Fowler's position, not supine, before starting the feeding. After checking for residual, flush the feeding tube with 30 mL of water, not normal saline. Fluid is not inserted until placement is verified.
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