The nurse is attempting to open an occluded PEG tube. Which of the following interventions requires re-education?
a. Flush the tube with a small amount of air
b. Flush the tube using a 50- to 60-mL syringe and 20 to 30 mL of warm water.
c. Reinsert the stylet to break up the clot.
d. Flush the tube with a carbonated beverage.
ANS: C
Once the stylet is removed, it is never reinserted because it can puncture the intestine. If the tube becomes occluded, flush it with a small amount of air. If this is unsuccessful in removing the occlusion, flush the tube using a 50- to 60-mL syringe and 20 to 30 mL of warm water. If flushing the tube with water is ineffective, try carbonated beverages or pineapple juice if not contraindicated.
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