A - 4 Show A. Hold feeding, notify physician, maintain patient in semi-Fowler's position, and recheck in 1 hour. Definitions If gastric residual exceeds 250 mL (use agency policy), the nurse should hold the feeding and notify the health care provider. The patient should be maintained in the semi-Fowler's position or at least have the head of the bed elevated 30 degrees. The nurse should check the residual again in 1 hour. If the patient aspirates formula, the patient may exhibit the following symptoms: rapid and shallow respirations, ashen color, rhonchi upon auscultation of breath sounds, and coughing up secretions that are similar to tube feeding. The nurse should turn off the tube feeding immediately, position the patient in the Fowler's position, suction, and notify the health care provider immediately. Prepare for chest x-ray examination. If unable to aspirate gastric contents, reposition the patient, attempt to flush with large-bore syringe and warm water; if able to flush and absence of residual, determine the patient's risk of dislodgment—if risk is low and the tube has remained taped in its original position, start the next feeding. If unable to flush, notify the health care provider. If the patient develops diarrhea three or more times in 24 hours, indicating intolerance, notify the health care provider and confer with the dietitian to determine the need to modify the type of formula, concentration, or rate of infusion. Determine whether patient is receiving antibiotics and medications containing sorbitol, which can induce diarrhea. If the patient develops nausea and vomiting, it may indicate gastric ileus. Withhold the tube feeding and notify the health care provider. Be sure the tubing is patent; aspirate for residual. Which action is used to check the placement of a feeding tube before administering feeding?Correct placement of the tube should be confirmed prior to administration of an enteral feed by checking insertion site at the abdominal wall and observing the child for abdominal pain or discomfort.
How do you administer intermittent tube feeding?In cyclic feeding, EN is administered via a feeding pump in less than a 24-h time period. In intermittent feeding, EN is administered over 20-60 min every 4-6 h with or without a feeding pump. In bolus feeding, EN is administered via a syringe or gravity drip over a 4-10-min period.
Which nursing action is appropriate when providing care to a patient who is prescribed intermittent tube feeding?The appropriate nursing action when providing care to a patient who is prescribed intermittent tube feedings is to check tube placement prior to each feeding.
What is intermittent tube feeding?Intermittent feeding is defined by administration of bouts of feeding lasting 20–60 min, 3-to-6 times per day. Bolus feeding consists of bouts of feeding lasting 4–10 min, administered by syringe or gravity drip.
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Prior to administering an intermittent tube feeding which action should be performed Quizlet
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