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Question
the nurse is preparing to administer an intermittent tube feeding to a client. the nurse aspirates but is unable to obtain any residual tube feeding. which action would the nurse take next? answer options: 1. administer the tube feeding slowly. 2. contact the physician. 3. turn the client to the side and attempt to aspirate again. 4. auscultate bowel sounds and check for abdominal tenderness. rationale, strategy, reference, tip
If unable to aspirate residual tube - feeding, turning the client to the side and re - attempting aspiration may help as it can reposition the tube. Administering the feeding without confirming tube placement is risky. Contacting the physician may be premature without first attempting simple re - positioning. Auscultating bowel sounds and checking for tenderness does not directly address the issue of inability to aspirate.
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- Turn the client to the side and attempt to aspirate again.