The nurse is concerned about pulmonary aspiration when providing her patient with tube feed-ings. The nurse should
a. Verify tube placement before feeding.
b. Lower the head of the bed to a supine po-sition.
c. Add blue food coloring to the enteral formula.
d. Run the formula over 12 hours to decrease volume.
ANS: A
A major cause of pulmonary aspiration is regurgitation of formula. The nurse needs to verify tube placement and elevate the head of the bed 30 to 45 degrees during feedings and for 2 hours af-terward. The addition of blue food coloring to enteral formula to assist with detection of aspirate is no longer used. Do not hang formula longer than 4 to 8 hours. Formula becomes a medium for bacterial growth after that length of time.
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