A client having a tube feeding begins vomiting. What action by ...

[Mollykgkg]

A client having a tube feeding begins vomiting. What action by the nurse is most appropriate?
 
  a. Administer an antiemetic.
  b. Check the client's gastric residual.
  c. Hold the feeding until the nausea subsides.
  d. Reduce the rate of the tube feeding by half.

Question 2

A client is receiving bolus feedings through a Dobhoff tube. What action by the nurse is most important?
 
  a. Auscultate lung sounds after each feeding.
  b. Check tube placement before each feeding.
  c. Check tube placement every 8 hours.
  d. Weigh the client daily on the same scale.

[k2629]

Answer to Question 1

ANS: C
The nurse should hold the feeding until the nausea and vomiting have subsided and consult with the provider on the rate at which to restart the feeding. Giving an antiemetic is not appropriate. After vomiting, a gastric residual will not be accurate. The nurse should not continue to feed the client while he or she is vomiting.

Answer to Question 2

ANS: B
For bolus feedings, the nurse checks placement of the tube per institutional policy prior to each feeding, which is more often than every 8 hours during the day. Auscultating lung sounds is also important, but this will indicate a complication that has already occurred. Weighing the client is important to determine if nutritional goals are being met.

[Mollykgkg]

Excellent

[T4T]

Thanks for the timely response, appreciate it