A patient is receiving enteral nutrition (EN) and the nurse aspirates 350 mL from the feeding tube. Which action is indicated?

When a nurse aspirates 350 mL from the feeding tube during enteral nutrition, it is important to interpret the significance of this finding in relation to the patient's ongoing care. In this context, aspirating a large volume from the feeding tube can signify that the stomach contains more residual than is typically expected, which could raise concerns about tolerance to the feeding.

Continuing feedings as ordered is appropriate in this scenario if the patient shows no signs of distress, has no gastrointestinal complications (such as significant nausea, vomiting, or diarrhea), and if the residual volume does not exceed established guidelines for safe feeding. Many protocols suggest that if the residual volume is within a certain range (often around 200-500 mL, but this can vary based on institutional policies), feedings can often continue, particularly if the patient is clinically stable.

In conjunction with continuing the feedings, the nurse should carefully monitor the patient for any adverse effects and reassess the residual volume before the next feeding. It’s also important for the care team to follow any specific protocols or guidelines that are set out by the institution regarding feeding residuals.

This decision reflects the understanding that managing enteral feeding requires a nuanced approach that balances nutrition delivery with patient safety and tolerance.