When the patient with a Salem sump tube for decompression complains of feeling full and has dyspnea and nausea, the initial intervention by the nurse should be to:
a. increase the amount of suction from low to high.
b. notify the charge nurse.
c. irrigate the tube with normal saline.
d. pull the tube out about 3 inches.
C
Irrigation of the tube to restore patency is the first intervention when assessment indicates in-adequate decompression. The suction should remain on low. Pulling the tube out may cause in-appropriate placement. Irrigating an obstructed sump tube is a standard of care.
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