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A nurse is checking for gastric residual volume (GRV) on a client who is scheduled to...

A nurse is checking for gastric residual volume (GRV) on a client who is scheduled to receive an intermittent enteral feeding. The nurse finds the client to have a GRV greater than 250 mL on two consecutive measurements. Which of the following actions should the nurse take? a. Hold the feeding and recheck the GRV in 1 hr. b. Instill one half of the prescribed dose of enteral nutrition. c. Place the client in a left Sims’ position until GRV is less than 250 mL d. Administer the scheduled feeding as prescribed.

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* GRV is less than 250 ml indicate delayed gastric emptying.

* The nurse should hold the feeding and recheck the GRV in 1 hr

* If the GRV increase above 500 ml stop enteral feeding and inform doctor.

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