The nurse is preparing to administer medications via a client's nasogastric feeding tube that was inserted 4 weeks ago. When attempting to flush the tube, the nurse realizes that the tube is clogged. Which action by the nurse is the priority?

1. Using coke to unclog the tube
2. Giving the medication orally
3. Using ice water to irrigate the tube
4. Replacing the current tube with a new one


4
Rationale 1: Using coke to unclog the tube is not recommended.
Rationale 2: Clients with nasogastric tubes are often unable to take anything by mouth, so administering the medications orally is not a realistic option.
Rationale 3: Tepid water should be used to irrigate the tube, if needed.
Rationale 4: Nasogastric tubes should be replaced every 4 weeks. The nurse should replace the tube so that the medications can be administered in a timely fashion.
Global Rationale: The nurse should replace the tube so that the medications can be administered in a timely fashion. Using coke to unclog the tube or ice water to irrigate the tube are not recommended. Tepid water should be used to irrigate the tube, if needed. Clients with nasogastric tubes are often unable to take anything by mouth, so administering the medications orally is not a realistic option.

Nursing

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