A patient with a nasogastric tube for intermittent enteral feedings has been coughing. Which intervention should the nurse perform prior to using the tube?
1. Reassess for tube placement.
2. Give the next feeding more slowly.
3. Flush the tube with sterile water prior to giving the next feeding.
4. Place the head of the bed at a 10-degree angle.
1
Rationale 1: Severe coughing can lead to nasal tube displacement. The tube placement should be reassessed before using.
Rationale 2: The nurse should not introduce feeding until another action has been performed.
Rationale 3: The nurse should not introduce fluid into the tube until another action has been performed.
Rationale 4: The head of the bed should be placed at a 30- to 45-degree angle to reduce the risk of aspiration.
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