The nurse if checking placement on a child's feeding tube. When the pH is checked, it is 5.3. What action by the nurse is indicated?
A) Remove the tube.
B) Document the findings as normal.
C) Contact the health care provider.
D) Re-evaluate the pH again in 2 hours.
Ans: C
Gastric pH may be used to evaluate feeding tube placement. Normal gastric pH is less than 5.0. Findings greater than 5.0 indicate the need for further action. The nurse cannot remove the tube. The findings cannot be documented as normal. Evaluating the gastric pH again in 2 hours is not appropriate as the matter warrents more immediate action.
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