A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?

A. Administering cold formula directly from the refrigerator can cause gastric discomfort and cramping. Formula should be warmed to room temperature before administration. B. Administering the feeding at a rate of 3 mL/min is too slow for a preschooler. The appropriate rate should be determined based on the child’s tolerance and provider instructions. Continuous feedings are usually given via a pump, while bolus feedings are given over 15–30 minutes. C. Elevating the head of the bed to a 45-degree angle is the correct action because it helps prevent aspiration and promotes proper digestion. Keeping the child in an upright position during and after the feeding is essential for safety. D. Discarding residual fluid aspirated from the stomach prior to the feeding is incorrect. Gastric residual volume (GRV) should be measured, but unless it is excessive (per facility protocol), it is usually returned to prevent loss of electrolytes and digestive enzymes.