A tracheostomy patient is experiencing regurgitation of tube feeding formula. The nurse's first priority should be
a. checking to make sure the tracheostomy cuff is inflated during tube feedings.
b. placing the patient in the right lateral decubitus position to promote gastric emptying.
c. discussing the use of metoclopramide to facilitate gastric motility with the physician.
d. placing the patient in prone position to improve draining from mouth.
A
When regurgitation of formula is an issue, the following interventions can be used as appropriate: keep the cuff of the endotracheal or tracheostomy tube inflated during feedings to prevent aspiration; elevate the head to 30 to 45 degrees during feedings unless contraindicated; if head cannot be raised, position the patient in the right lateral position or prone position to improve drainage of vomitus from the mouth; and consider giving metoclopramide to improve gastric emptying.
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