In which of the following optimal positions should the nurse plan to place the client after bolus feeding using a nasogastric tube?
1. Head of bed (HOB) flat, with client supine for at least 60 minutes
2. HOB elevated 45 to 60 degrees, with client supine for 15 minutes
3. HOB elevated 10 degrees, with client in the left lateral position for 60 minutes
4. HOB elevated 30 to 45 degrees, with client in the right lateral position for 60 minutes
4
Rationale: Aspiration is a possible complication associated with nasogastric tube feeding. The HOB should be elevated 30 to 45 degrees for 30 to 60 minutes following bolus tube feeding to prevent vomiting and aspiration. The right lateral position uses gravity to facilitate gastric emptying, which also will reduce the risk of vomiting. The flat supine position should be avoided for the first 30 minutes after a tube feeding.
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