A patient is mechanically ventilated and is receiving enteral nutrition via a nasogastric tube.To help ensure feeding tolerance,the nurse checks residual volumes every 4 hours.During a residual check later in the shift,the nurse aspirates a total residual volume of 350 mL.What action should the nurse take next?
A) Stop the tube feeding, wait 1 hour, and recheck the residual
B) Discontinue tube feeding and call the practitioner for parenteral nutrition orders
C) Continue the tube feeding if no other gastrointestinal symptoms exist and reassess the patient with the next residual check
D) Continue the tube feeding and place the patient in the left lateral decubitus position to facilitate gastric emptying

Question

Quizplus · Accepted Answer

There is little evidence to support a correlation between gastric residual volumes and tolerance to feedings,gastric emptying,and potential aspiration.Except in selected high-risk patients,there is little evidence to support holding tube feedings in patients with gastric residual volumes less than 400 mL.

A Patient Is Mechanically Ventilated and Is Receiving Enteral Nutrition