The nurse prepares to insert a small-bore intestinal feeding tube. Which instruction does the nurse provide to nursing assistive personnel (NAP) to assist with preparation?
a. Immerse the feeding tube in an ice bath.
b. Cut a 10.2-cm (4-inch) piece of adhesive tape.
c. Inspect the patient's nares for irritation.
d. Remove the guidewire from the feeding tube.
B
The nurse instructs the NAP to cut a 10.2-cm (4-inch) strip of adhesive tape to secure the feeding tube to the patient's nose while the nurse supervises the NAP's action. Icing a feeding tube is never recommended because it would only make the tube stiffer and harder to insert. The nurse is responsible for patient assessment before tube insertion because it requires clinical judgment and critical thinking. The guidewire remains in the feeding tube until placement is confirmed with an x-ray film.
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