The provider calculates the enteral nutrition needs for a nonambulatory patient and determines that the patient will need 300 mL of Ultracal every 4 hours. Which method of delivery will the nurse use to administer these feedings?
a. 300 mL every 4 hours given via syringe as a 10-minute bolus
b. 300 mL every 4 hours given via enteral pump as a 45-minute infusion
c. 75 mL per hour via enteral pump as a continuous infusion
d. 150 mL every 2 hours via gravity infusion
ANS: B
Intermittent enteral feedings are an inexpensive and safe method of administering enteral nutrition and may be used when patients are nonambulatory. Three hundred to 400 mL of solution may be given and should infuse over 30 to 60 minutes. While bolus methods may be used for patients receiving 250 to 400 mL of solution, this method is not tolerated well by non-ambulatory patients and may cause nausea, vomiting, aspiration, abdominal cramping, and diarrhea. Continuous feedings are used for critically ill patients. Gravity feedings cannot be well-controlled and may infuse too fast or too slow.
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