Page 2417 - Saunders Comprehensive Review For NCLEX-RN

g. Use an infusion feeding pump for
continuous or cyclic feedings.
h. For bolus feeding, maintain the client in
a high-Fowler’s position for 30 minutes
after the feeding. Use an infusion
pump or allow the feeding to infuse
via gravity. Do not plunge the feeding
into the stomach.
i. For a continuous feeding, keep the client
in a semi-Fowler’s position at all times.
4. Precautions

Always assess the placement of a gastrointestinal tube before

instilling feeding solutions, medications, or any other solution. If the tube
is incorrectly placed, the client is at risk for aspiration.
a. Change the feeding container and
tubing every 24 hours or per agency
policy.
b. Do not hang more solution than is
required for a 4-hour period; this
prevents bacterial growth.
c. Check the expiration date on the
formula before administering.
d. Shake the formula well before pouring
it into the container (feeding bag).
Some feedings require the use of a bag
in which formula is added, or require
the use of bottles that feeding tubing
can be attached to directly. The tubing
sometimes has a Y-site connection so a
regular flush can be programmed
using the pump rather than using a
piston syringe.
e. Always assess bowel sounds; do not
administer any feedings if bowel
sounds are absent.
f. Administer the feeding at the prescribed
rate or via gravity flow (intermittent
bolus feedings) with a 50- to 60-mL
syringe with the plunger removed.
g. Gently flush with 30 to 50 mL of water
or NS (depending on agency policy)
using the irrigation syringe after the
feeding.

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