To prevent aspiration during the administration of an enter tube feeding, a
nurse should...
- -place the patient in Fowler's position.
*The Fowler's position is recommended during tube feeding to reduce the
risk of regurgitation, which can lead to aspiration. If Fowler's is
uncomfortable for the patient, an acceptable alternative is elevating the
head of the bed at least 30º.
The most reliable method for verifying initial placement of a small-bore
feeding tube is by...
- -obtaining an abdominal x-ray.
*This is the most reliable method for verifying initial placement of a small-
bore feeding tube.
To prevent common complication of continuous enteral tube feedings, a
nurse should...
- -limit the time the formula hangs to 4 hr.
*Formula that hangs longer than 4 to 8 hr is at risk for bacterial
contamination, typically manifested by the patient as diarrhea.
To determine how much of the length of a nasoenteric tube to insert, a
nurse should measure the distance from the patient's nose to the earlobe
and from the earlobe to the...
- -xiphoid process plus 20 to 30 cm more.
*approximates the distance from the nose to the stomach for 98% of
patients. For duodenal or jejunal placement, an additional 20-30 cm is
required.
*Measuring from the tip of the nose to the earlobe to the umbilicus would
exceed the recommended length of feeding tube to be inserted.
A nurse inserting a nasogastric tube asks the patient to flex her head toward
her chest after the tube passes through the nasopharynx. This action
facilitates proper insertion of the tube by...