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What is the first action a nurse should take when planning care for a client receiving enteral tube feedings through an NG tube?

Aspirate the client's stomach contents

When planning care for a client receiving enteral tube feedings through a nasogastric (NG) tube, the immediate priority is to ensure the correct placement of the tube before any feedings are initiated. Aspirating the stomach contents serves as a preliminary measure to assess whether the NG tube is properly positioned within the stomach. This step is crucial because if the tube is not in the correct location, administering feedings could lead to serious complications such as aspiration pneumonia or gastrointestinal distress.

While the assessment of tube placement with a pH test is also important, aspiring the stomach contents can provide immediate visual confirmation of the tube’s position. Checking bowel sounds is necessary for evaluating gastrointestinal function, but it does not directly confirm tube placement. Administering a bolus feeding without first confirming the tube's placement would be unsafe, potentially leading to aspiration if the tube is improperly positioned. Therefore, the correct approach is to begin with aspirating the stomach contents to ensure patient safety prior to any feeding interventions.

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Assess the tube placement with a pH test

Check the client's bowel sounds

Administer a bolus feeding

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