Which position reduces aspiration risk during bolus feeding via nasogastric tube?

• A. Discontinue the administration of the bolus feeding
• B. Elevate the head of bed to 30-45 degrees
• C. Place the patient flat on the back
• D. Place the client in lateral Trendelenburg

Answer: (B)

Elevating the head of the bed to 30-45 degrees during bolus feeding via a nasogastric tube reduces aspiration risk because gravity helps keep gastric contents in the stomach and away from the esophagus and airway. This position lowers the chance that reflux or regurgitated feed will reach the larynx and lungs, which is especially important with bolus feeding since the rapid delivery increases reflux potential.

Staying flat or lying head-down can allow contents to move toward the esophagus and airway, increasing the risk of aspirating. The lateral Trendelenburg position isn’t used for aspiration prevention during feeding and can worsen airway mechanics and reflux.