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A Client Who Is Intubated and on Mechanical Ventilation Is

Question 104

Multiple Choice

A client who is intubated and on mechanical ventilation is receiving continuous enteral tube feedings at 30 mL/hr via a small-bore nasogastric tube.  Which actions should the nurse take to prevent aspiration in this client?  Select all that apply.


A) Assess abdominal distension every 4 hours
B) Check gastric residual every 12 hours
C) Keep head of the bed at ≥30 degrees
D) Maintain endotracheal cuff pressure
E) Use caution when administering sedatives

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