The nurse is caring for a client with peptic ulcer disease. The client vomits a large amount of undigested food after breakfast. Which intervention does the nurse prepare to provide for the client?
a. Administer a soap suds cleansing enema.
b. Change the client's diet to clear liquids only.
c. Insert a nasogastric (NG) tube to low intermittent suction.
d. Administer prochlorperazine (Compazine) 10 mg IM.
C
Symptoms of abdominal distention and nausea and vomiting of undigested food signal pyloric obstruction. Treatment is aimed at decompression of the stomach by an NG tube and restoration of fluid and electrolyte balance. The client should remain NPO, and a soap suds cleansing enema is not indicated. Decompressing the stomach should alleviate the nausea, but if antiemetics are ordered, they would not take priority over decompressing the stomach.
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