The nurse is preparing to gavage-feed a preterm infant. Put the steps in the correct order, creating a five-digit number

1. Check pH of the gastric aspirate.
2. Elevate the syringe 6–8 inches above the infant's head.
3. Measure from the tip of the nose to the earlobe to the xyphoid process.
4. Clear the tubing with 2–3 ml of sterile water.
5. Lubricate the tube by dipping it into sterile water.


35124
Rationale:
1. This step is undertaken after the tube has been inserted to verify correct placement of the tube.
2. This step allows gravity to create a gradual flow of the feeding.
3. This is the first step, and determines the appropriate length of the tube to be inserted.
4. After the formula or breast milk has flowed into the stomach through the tube, the tube is cleared to prevent aspiration of the feeding if leakage takes place as the tube is withdrawn.
5. After the length of tube to be inserted is determined, the tube is lubricated by dipping it into water to facilitate passage through the nose.

Nursing

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