The nurse is checking tube feeding residual amounts and obtains 120 mL of residual. The patient is receiving 70 milliliter per hour of feeding. What action should the nurse take?
a. Continue the feeding as ordered.
b. Slow the feeding to 35 mL/hr.
c. Increase the feeding to 100 mL/hr.
d. Hold the feeding, and notify the physician.
ANS: D
If the residual amount is more than 100 mL or the amount specified by the agency or physician, the feeding should be stopped to prevent vomiting or aspiration and the physician notified.
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