Before administering a bolus tube feeding via a nasogastric tube (NGT), which action is essential?

Verifying the placement of the nasogastric tube (NGT) is essential before administering a bolus tube feeding because accurate tube placement ensures that the feeding reaches the stomach and does not enter the lungs, which could lead to aspiration pneumonia. This step is critical for both the safety and effectiveness of the feeding process. Verification typically involves checking for gastric residual volume, auscultating for air, or using pH testing, all of which confirm that the tube is properly positioned in the stomach.

While irrigating the tube with water can help clear it and may be necessary for managing blockages or preparing for feeding, it is not the primary safety measure regarding placement verification. Elevating the head of the bed is a standard practice to reduce the risk of aspiration during feeding, but it only addresses a secondary concern after confirming the tube's correct placement. Instructing the client to remain in bed after feeding is generally good practice but does not pertain directly to the necessary action before starting a bolus feeding.