The nurse cannot advance the small-bore intestinal feeding tube into the client's oropharynx. Which does the nurse implement to facilitate tube advancement without complications?
1. Attempt to insert the tube into the other naris.
2. Advance stylet and then thread the tube over it.
3. Remove stylet, check it for kinks, and reinsert it.
4. Use another stylet to move the tube into position.
1
1. The nurse attempts to insert the feeding tube and stylet into the opposite naris after encountering difficulty in the first naris because a physical obstruction is the most likely cause of the problem.
2. The nurse avoids advancing the stylet without the feeding tube covering it because the unguarded stylet is likely to cause tissue trauma to the client's nasal passageways or oropharynx. In addition, the nurse is unlikely to advance the feeding tube success-fully because the stylet is designed for removal from the tube after placement.
3. Once the stylet is removed from the feeding tube, it cannot be reinserted without damaging the tube.
4. Using a second stylet is contraindicated for tube manipulation.
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