After 2 days of administering the patient's continuous nasogastric tube (NGT) feeding at 35 mL/hr successfully, the nurse aspirates 150 mL of formula. Which should the nurse implement first?
a. Return the aspirate and continue with the feeding.
b. Flush the tube with 30 mL of normal sa-line solution.
c. Return the aspirate and reevaluate patient in 1 hour.
d. Collaborate about the aspirate with the provider.
A
Best evidence suggests that a single high gastric volume residual GRV should be monitored for the following hour, but enteral feeding should not be stopped or withheld for an isolated high GRV, so the nurse returns the 150-mL aspirate, documents the event, and communicates the finding to the next nurse. If on several occasions the nurse aspirates more than 150 mL, the nurse notifies the provider. Excessive NGT aspirate warrants further investigation by the nurse at that time and requires the nurse to assess the patient carefully on restarting the feeding. The nurse flushes the NGT after discarding the excessive NGT aspirate to maintain tube patency. The nurse returns the aspirate if the volume is less than 200 mL. There is no reason to contact the provider at this point.
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