A nurse is preparing to administer a nasogastric (NG) tube feeding to a school-age child. Which of the following actions should the nurse plan to take?
Explanation & Rationale
Rationale: A. Complete the feeding in 5 min: NG tube feedings should be administered slowly, typically over 20–30 minutes, to allow for proper digestion and to reduce the risk of nausea, vomiting, or aspiration in pediatric clients. B. Warm the formula in the microwave: Microwaving can create uneven hot spots in the formula, risking oral or gastrointestinal burns. Formula should be warmed safely by placing the container in warm water and checking the temperature before administration. C. Measure the tubing from the nose to the distal port: Correct NG tube placement is essential to prevent aspiration and ensure the feeding reaches the stomach. Measurement is done from the nose to the ear lobe and then to the xiphoid process (not the distal port), but this option reflects the importance of measurement as part of safe practice. D. Position the child at a 10° to 20° angle after feeding: After NG feeding, the child should be kept in an upright position of at least 30° to 45° for 30–60 minutes to facilitate digestion and minimize aspiration risk. A 10° to 20° angle is too low and unsafe