Information that should be provided to the caregiver of a client with a nasogastric tube includes:
A. Keeping the head of the bed lowered for feedings
B. Keeping unused formula at room temperature
C. Aspirating every 4 hours when receiving continuous drip feedings
D. Providing half of the feeding if the residual exceeds 150 ml
C
C. Client and caregivers need to document I&O, daily weights, amount of gastric fluid aspirated before each feeding (or every 4 hours if receiving continuous feeding), date and time of feedings, amount and type of formula, any additives, and date and time administration sets are changed.
A. Instruct client or caregiver that the client should sit up in a chair or have the head of the bed elevated at least 30 to 45 degrees while receiving feedings or medications or when tube is flushed.
B. Refrigerate unused formula, and limit amount of formula "hung" at one time to amount that can be infused in a 4- to 6-hour period. Refrigeration and limiting "hang" time reduces microorganism proliferation.
D. If gastric aspirates are greater than or equal to 200 ml, instruct client or caregiver to return gastric contents and delay tube feeding for 1 hour. If aspirates remain greater than or equal to 200 ml after an hour, instruct client or caregiver to contact home care nurse or health care provider.
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