The nurse is assessing placement of a nasogastric tube that the patient has had in place for 2 days. The tube is draining green aspirate. What is the nurse's most appropriate action?
A) Inform the physician that the tube may be in the patient's pleural space.
B) Withdraw the tube 2 to 4 cm.
C) Leave the tube in its present position.
D) Advance the tube up to 8 cm.
Ans: C
Feedback:
The patient's aspirate is from the gastric area when the nurse observes that the color of the aspirate is green. Further confirmation of placement is necessary, but there is likely no need for repositioning. Pleural secretions are pale yellow.
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