82.While the nurse is administering a bolus feeding to a client via
nasogastric tube, the client begins to vomit. What action should the
nurse implement first?
A. Discontinue the administration of the bolus feeding.
B. Auscultate the client's breath sounds bilaterally.
C. Elevate the head of the bed to a high Fowler's position.
D. Administer a PRN dose of a prescribed antiemetic.
When a client receiving a tube feeding begins to vomit, the nurse
should first stop the feeding (A) to prevent further vomiting. (C) should
then be implemented to reduce the risk of aspiration. After that, (B and
D) can be implemented as indicated.
Correct Answer: A
nasogastric tube, the client begins to vomit. What action should the
nurse implement first?
A. Discontinue the administration of the bolus feeding.
B. Auscultate the client's breath sounds bilaterally.
C. Elevate the head of the bed to a high Fowler's position.
D. Administer a PRN dose of a prescribed antiemetic.
When a client receiving a tube feeding begins to vomit, the nurse
should first stop the feeding (A) to prevent further vomiting. (C) should
then be implemented to reduce the risk of aspiration. After that, (B and
D) can be implemented as indicated.
Correct Answer: A
