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Question:

The nurse supervises care of a client who is receiving enteral feeding via a nasogastric tube. The nurse determines that care is appropriate if which of the following is observed?
SELECT ALL THAT APPLY.

A The nursing assistant checks the residual and records it before returning it to the patient.
explanation

The head of the bed must be elevated sufficiently (15 degrees is enough) to decrease the risk of aspiration. Listening for a “puff” of air is not as accurate as an x-ray or pH assessment. Residuals should be returned to patients via tubes, always. The nursing assistant cannot perform assessments and therefore isn’t qualified to listen to bowel sounds.

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