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    Ati pn paediatrics nursing 2023 proctored exam

    A nurse is contributing to the plan of care for a toddler who is receiving intermittent enteral feedings. Which of the following interventions should the nurse include?

    Explanation & Rationale

    A. Warm the feeding in the microwave oven for 15 seconds: Microwaving enteral formula is not recommended due to uneven heating, which can create hot spots and risk oral or gastric burns. Instead, formula should be warmed in warm water to ensure safe and consistent temperatures. B. Administer the feeding to the child at 10 mL/min: Administering enteral feedings slowly at a rate of 10 mL/min allows the toddler’s gastrointestinal system to tolerate the feeding better, reducing the risk of vomiting, abdominal distension, or aspiration. C. Discard gastric residuals prior to each feeding: Gastric residuals should be measured to assess tolerance to previous feedings, but they should not be discarded unless specifically indicated. Returning residuals helps maintain electrolyte balance and gastric secretions. D. Maintain the child in a supine position: The child should be placed in a semi-Fowler's or upright position during and after feedings to reduce the risk of aspiration. Supine positioning increases the likelihood of regurgitation and pulmonary complications.

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