The nurse prepares to insert a feeding tube into a client. Which assessment datum does the nurse expect to observe during the feeding tube insertion?
1. Tube advances 20 to 25 cm.
2. Tube coils in the oropharynx.
3. Client has trouble swallowing.
4. Client looks slightly cyanotic.
1
1. The nurse anticipates advancing the tube by 20 to 25 cm into the client's gastroin-testinal tract to position the tube in the correct location for feeding.
2. The nurse expects the feeding tube to descend into the esophagus in a straight line along the posterior oropharynx.
3. The nurse expects the client to swallow to facilitate tube passage through the eso-phagus.
4. The nurse expects the client to mouth breathe and to maintain adequate oxygena-tion during the feeding tube insertion.
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