The nurse prepares to insert a client's nasogastric tube (NGT) for tube feedings. Which client assessment requires the nurse to collaborate with the client's provider before initiating the feed-ing?
1. An intact gag reflex
2. Occluded right nares
3. Impaired swallowing
4. Absent bowel sounds
4
4. The nurse collaborates with the provider before initiating tube feedings for a client without bowel sounds because any formula infused is likely to accumulate in the stomach and greatly increase the client's risk of aspiration. Even so, peristalsis is normally stimulated as food accumulates in the stomach, activates stretch receptors, and stimulates peristalsis in the small and large intestines.
1. Indications for NGT feedings exist for clients with and without a gag reflex.
2. The nurse attempts NGT insertion into the left nostril when the right nostril is oc-cluded.
3. Clients with impaired swallowing are suitable candidates for NGT feedings.
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