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The Nurse Should Include Which Action in the Plan of Care

Question 24

Multiple Choice

The nurse should include which action in the plan of care for the client receiving enteral feedings? Select all that apply.


A) Position the head of bed in semi-Fowler's during feeding.
B) Check placement of tube before initiating feeding.
C) Maintain the head of bed elevated between 30 and 45 degrees at least 30 minutes after feeding.
D) Allow at least 90 minutes for each feeding.
E) Notify primary care physician for gastric residuals of 100 to 200 cc.

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