The nursing action that is important to prevent complications from nasogastric feeding in a comatose client receiving tube feedings is to
a. check residual volume every 4 hours.
b. feed only small amounts every hour.
c. feed the client in the supine position.
d. stimulate the gag reflex every 8 hours.
A
Possible complications from enteral feeding include delayed gastric emptying and aspiration. Check residual volumes every 4 hours. If the residual volume is more than 100 ml, hold the feeding for 1 hour, and then resume. Feeding small amounts might not meet the client's nutritional needs. Feeding the client in the supine position would increase the risk of aspiration. Stimulating the gag reflex is not needed while the client is receiving enteral feedings. If the gag reflex needs to be checked, it should be done via a swallowing study administered by a speech therapist.
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