A nurse cares for a client who has a nasogastric (NG) tube. Which actions should the nurse take? (Select all that apply.)
a. Assess for proper placement of the tube every 4 hours.
b. Flush the tube with water every hour to ensure patency.
c. Secure the NG tube to the client's upper lip.
d. Disconnect suction when auscultating bowel peristalsis.
e. Monitor the client's skin around the tube site for irritation.
ANS: A, D, E
The nurse should assess for proper placement, tube patency, and output every 4 hours. The nurse should also monitor the skin around the tube for irritation and secure the tube to the client's nose. When auscultating bowel sounds for peristalsis, the nurse should disconnect suction.
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