Evolve HESI Practice Exam

What is the best client position for administering bolus enteral feedings through a gastrostomy tube?

1. Supine

2. Prone

3. Fowler's

4. Sitting upright

The correct answer is: Fowler's

The best client position for administering bolus enteral feedings through a gastrostomy tube is sitting upright. This position promotes safety and effectiveness during the feeding process. When a patient is sitting upright, gravity facilitates the passage of the enteral formula into the stomach, reducing the risk of aspiration, which can occur if the feeding enters the airway rather than the esophagus. Additionally, the upright position aids in digestion and helps minimize discomfort during the feeding. While Fowler's position, which is a modified sitting position, can also be beneficial, sitting upright is more optimal because it allows for a more natural alignment of the gastrointestinal tract. This ensures that the enteral formula moves more easily into the stomach and reduces the likelihood of complications such as reflux or aspiration. In contrast, the supine position (lying flat on the back) increases the risk of aspiration as the angle of the esophagus to the stomach is less favorable for feeding. The prone position (lying on the stomach) is inappropriate for feeding as it obstructs the esophagus and can create potential hazards for airway management and feeding administration.