Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube.Which of the following actions should the nurse take prior to administering the tube feeding?
Correct answer
A
Rationale
The correct answer is A: Test the pH of gastric aspirate. This is crucial before administering tube feeding to ensure the tube is correctly positioned in the stomach, reducing the risk of aspiration. Testing pH helps confirm the tube is in the stomach (pH <4) rather than the respiratory tract. Discarding residual contents (B) is important but not a priority. Positioning (C) and warming the solution (D) are not directly related to tube placement verification.