What is the appropriate position for a client receiving bolus feedings via a nasogastric tube who requests to sleep?

For a client receiving bolus feedings via a nasogastric tube, it's crucial to position them properly to reduce the risk of aspiration and promote comfort during feeding. Elevating the head of the bed to 30 to 45 degrees helps to facilitate gravity in keeping the feeding in the stomach, preventing reflux, and minimizing the risk of aspiration should the client accidentally vomit or reflux.

Additionally, positioning the client in the right lateral position, while it may not be the most common position for feedings compared to the left lateral position, is still beneficial in ensuring that the feeding is effectively channeled into the stomach without causing obstruction.

Maintaining this position for 60 minutes after feeding is important for optimizing digestion and reducing complications associated with bolus feedings. The combination of head elevation and lateral positioning assists in promoting gastric emptying and minimizing the risk of aspiration, making this approach appropriately considered for a client wishing to rest or sleep after their feeding.