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A Patient Is Mechanically Ventilated and Is Receiving Enteral Nutrition

Question 29

Multiple Choice

A patient is mechanically ventilated and is receiving enteral nutrition via a nasogastric tube.To help ensure feeding tolerance, the nurse checks residual volumes every 4 hours.During a residual check later in the shift, the nurse aspirates a total residual volume of 350 mL.The nurse will


A) stop the tube feeding, wait 1 hour, and recheck the residual.
B) discontinue the feeding tube and tube feeding and call the physician for TPN orders.
C) continue the tube feeding, if no other gastrointestinal symptoms exist, and reassess the patient with the next residual check.
D) continue the tube feeding and place the patient in the left lateral decubitus position to facilitate gastric emptying.

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