Difficulty: Medium
Average Score: 88%
Simulated
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct answer
B
Rationale
The correct answer is B: Aspirate residual volume every 4 hr. This is done to assess the amount of residual feeding left in the stomach, which helps prevent complications such as aspiration pneumonia. Changing the tubing every 72 hr (A) is not necessary unless it is visibly soiled or malfunctioning. Flushing the tubing with water every 2 hr (C) may cause fluid overload. Heating the formula to 40.5┬░C (105┬░F) (D) can destroy essential nutrients and enzymes.