A patient, receiving nasogastric tube feedings, has a gastric residual volume of 450 cc. Which of the following should the nurse do to support this patient's nutritional needs?
1. hold the tube feeding until the gastric aspirate is less than 100 cc
2. hold the tube feeding until the gastric aspirate is less than 250 cc
3. provide the tube feeding as a bolus
4. provide the tube feeding as a continuous infusion
2
Rationale: A common intervention for high gastric residual volume is to hold the enteral feeding for 1 to 2 hours until the residual volume is less than 200 to 250 cc from a nasogastric tube or less than 100 cc from a gastrostomy tube. The patient's tube feeding should be held until the aspirate is less than 250 cc. It is not necessary to wait until the gastric residual volume is less than 100 cc since this is a nasogastric tube and not a gastrostomy tube. The nurse should not provide the tube feeding as a bolus and should not provide the tube feeding as a continuous infusion.
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