Nurse Oliver checks for residual before administering a bolus tube feeding to a client with a nasogastric tube and obtains a residual amount of 150 mL.. Hold the feeding

Nurse Oliver checks for residual before administering a bolus tube feeding to a client with a nasogastric tube and obtains a residual amount of 150 mL.

What is appropriate action for the nurse to take?
a- Hold the feeding

b- Reinstill the amount and continue with administering the feeding

c- Elevate the client’s head at least 45 degrees and administer the feeding

d- Discard the residual amount and proceed with administering the feeding

Answer A.
Unless specifically indicated, residual amounts more than 100 mL require holding the feeding.

Therefore options B, C, and D are incorrect. Additionally, the feeding is not discarded unless its contents are abnormal in color or characteristics.