A nurse has obtained an order to remove a patient's NG tube and has prepared the patient accordingly
After flushing the tube and removing the nasal tape, the nurse attempts removal but is met with resistance. Because the nurse is unable to overcome this resistance, what is the most appropriate action?
A) Gently twist the tube before pulling.
B) Instill a digestive enzyme solution and reattempt removal in 10 to 15 minutes.
C) Flush the tube with hot tap water and reattempt removal.
D) Report this finding to the patient's primary care provider.
Ans: D
Feedback:
If the tube does not come out easily, force should not be used, and the problem should be reported to the primary provider. Enzymes are used to resolve obstructions, not to aid removal. For safety reasons, hot water is never instilled into a tube. Twisting could cause damage to the mucosa.
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