The nurse instructs the client to self-administer nasointestinal tube feedings at home. Which is the best instruction to include in client teaching about aspirating the tube?
1. Withhold tube feedings if unable to obtain aspirate.
2. Check tube placement by instilling air into the tube.
3. Administer the tube feedings at 45° F to 50° F.
4. Report aspirate with a pH less than 6 to provider.
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4. The nurse instructs the client to report a pH less than 6 of the intestinal aspirate because this fluid should be alkalinic and have a pH greater than 6 from exposure to intestinal fluid and bile.
1. If the client manages the intestinal tube feedings adroitly, receives adequate train-ing, and trouble shoots problems effectively, the nurse expects the client to aspirate the nasointestinal tube skillfully. Thus, if such a client aspirates and obtains no fluid, the nurse assumes the infusion is operating without difficulty because no aspirate is an expected finding.
2. The nurse avoids instructing the client to instill air to verify tube placement; how-ever, the nurse instructs the client to instill 30 ml of air before aspirating gastric fluid to displace the fluid and facilitate aspiration.
3. The nurse instructs the client to administer nasointestinal tube feedings at room temperature to avoid abdominal cramping.
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