A nurse notices that, even with intermittent suctioning, an NPO client's nasogastric tube is becoming obstructed. Which of the following interventions will promote tube patency?
A) Give liberal amounts of water to the client.
B) Inspect the tube carefully.
C) Give ice chips to the client.
D) Remove and wash the tube.
C
Feedback:
Giving ice chips or occasional sips of water to a client promotes tube patency. The fluid helps to dilute the gastric secretions. However, both must be given sparingly because water is hypotonic and draws electrolytes into the gastric fluid. Because the diluted fluid is ultimately removed, giving the client liberal amounts of water can deplete serum electrolytes. Removing and washing the tube is not recommended unless patency cannot be restored.
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