The nurse is caring for a client with suspected upper GI bleeding. The nurse inserts a nasogastric (NG) tube for gastric lavage and checks placement of the tube in the stomach. When fluid is aspirated from the tube, the pH is found to be 6
Which is the priority action of the nurse? a. Obtain an order for a stat chest x-ray.
b. Auscultate over the lung fields bilaterally.
c. Assess whether the tube is coiled in the client's throat.
d. Auscultate over the epigastric area while instilling air.
A
The pH of gastric contents should be below 3.5 . A stat chest x-ray should be obtained whenever any doubt arises regarding NG tube placement. The other methods are not appropriate for confirming placement.
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