The nurse is administering a tube feeding to a patient who has been receiving feedings at 50 mL/hour for 1 day. The nurse is checking placement and residual volume and is able to aspirate back 250 mL of undigested tube feeding
What action should the nurse take?
a. Return aspirated tube feeding to the patient, and run feeding at a slower rate of 20 mL/hour.
b. Discard aspirated tube feeding, and run tube feeding as ordered by the physician.
c. Report amount of aspirated tube feeding to the RN for consultation with the physician.
d. Return aspirated tube feeding to the patient, and wait 2 hours before restarting tube feeding at 50 mL/hr.
ANS: C
As the residual amount is more than 100 mL or the amount specified by the agency or physician, the RN and the physician are notified, and the feeding will likely be stopped to prevent vomiting or aspiration.
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