A nasointestinal tube (NI) has been inserted into a client diagnosed with an intestinal obstruction
Which of the following statements made by the nurse caring for the client indicates a lack of understanding regarding the nursing care required for safe management of this medical intervention? 1. "It's my habit to irrigate nasointestinal tubes (NI) just prior to administering the client's sleeping medication.".
2. "The client has been very compliant about remaining on his right side.".
3. "The placement of the tubing has been confirmed by x-ray, so now I'll attach it to low intermittent suction.".
4. "I'll ambulate the client at least twice before bedtime to help advance the tube.".
"It's my habit to irrigate nasointestinal tubes (NI) just prior to administering the client's sleeping medication.".
Rationale: The tube is not irrigated unless ordered by the health care provider. Once inserted into the stomach, position the patient on his right side. The health care provider may order the tube to be advanced 2 to 4 inches at a time or to let gravity move the tube into the small intestine. Movement of the patient, either ambulation or changing positions in bed, will assist the forward movement of the tube. Low intermittent suction may be ordered once placement is confirmed by x-ray.
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