A nurse is administering an enteral feeding for a client with pancreatitis. It is important that the nurse perform which of the following before administration of the feeding solution?

Check if borborygmi sounds are present.
Measure residual volume of the previous feeding.

Explanation

•Checking for borborygmi sounds (rumbling and gurgling) helps the nurse assess for GI function and movement.

•Aspirating gastric contents is an indicator of the amount of the previous feeding that was absorbed. A pH test of a sample of the aspirated gastric contents must be performed to confirm tube placement, as well.

•Feedings are often withheld when the residual volume is greater than 100 ml, but this number varies among institutions and physicians. Check with the provider.

•Positioning the patient in semi-Fowler's position or higher prevents aspiration.

•30 ml of water is instilled before and after feeding the client to ensure patency and flush the tube to keep it clear.

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