Difficulty: Medium
Average Score: 64%
Simulated
A nurse is assisting with the care of a client who is receiving continuous enteral feedings. Which of the following actions should the nurse take to prevent aspiration?
Correct answer
A
Rationale
Keep the head of the bed elevated to 30 degrees: Elevating the head of the bed reduces the risk of aspiration by preventing reflux of gastric contents. Generated rationale: A 30- to 45-degree elevation promotes gravitational flow of feedings, minimizing the chance of aspiration pneumonia.