The nurse is preparing to administer a continuous enteral feeding for a client with a nasogastric tube. Place the steps in the correct order. All options must be used. A)Administer the prescribed feeding solution B)Elevate the head of the bed 30-45 degrees C)Flush the tube with 30 mL of water D)Identify the client using 2 identifiers E)Validate tube placement

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The steps for administering a continuous enteral feeding include: Identify the client using 2 identifiers (eg, first and last name, medical record number, date of birth) (Option D) and explain the procedure to the client. Perform hand hygiene and apply clean gloves. Elevate the head of the bed ?30 degrees and keep it elevated for at least 30 minutes after feeding to minimize the risk of aspiration (Option B). Validate tube placement by checking the gastric pH as well as assessing the external tube length and comparing it with the measurement at the time of insertion. The tube should be marked at the nostril with a permanent marker during the initial x-ray validation (Option E). Check gastric residual volume. Flush the tube with 30 mL of water after checking residual volume, every 4-6 hours during feeding, and before and after medication administration (Option C). Administer the prescribed enteral feeding solution by connecting the tubing and setting the rate on the infusion pump (Option A). Educational objective: The general steps for administering a continuous enteral feeding include identifying the client, elevating the head of bed at least 30 degrees, validating tube placement, flushing the tube with 30 mL of water, and administering the prescribed enteral feeding solution.

The Nurse Is Preparing to Administer a Continuous Enteral Feeding