Posted: August 16th, 2017

When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to

When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to
a) reassess the residual gastric content in 1 hour.
If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.
b) notify the physician.
One observation of a residual gastric content over 100 cc does not have to be reported to the physician. If the observation occurs two times in succession, the physician should be notified.
c) give the tube feeding.
If the amount of gastric residual exceeds 100 cc, the tube feeding should be withheld at that time.
d) withhold the tube feeding indefinitely.
If the amount of gastric residual exceeds 100 cc, the tube feeding should be withheld at that time, but not indefinitely.