The nurse prepares to insert a small-bore intestinal feeding tube. Which instruction does the nurse provide to the nursing assistant to assist with preparation?
1. Immerse feeding tube in an ice bath.
2. Cut adhesive tape to length of 10 cm.
3. Inspect the client's nares for irritation.
4. Remove guide wire from feeding tube.
2
2. The nurse instructs the nursing assistant to cut a strip of adhesive tape at 10 cm to secure the feeding tube to the client's nose because the nurse is in attendance of the assistant's action and the assistant receives training to perform the task.
1. Large-bore feeding tubes are softened in a warm-water bath before insertion be-cause the warmth softens the stiff tube; however, small-bore feeding tubes are pliable and do not require softening. Icing a large- or small-bore tube is contraindicated be-fore insertion because it makes the large-bore tube stiff and is ineffective on a small-bore tube.
3. The nurse is responsible for client assessment before tube insertion because it re-quires clinical judgment and critical thinking.
4. The guide wire remains in the feeding tube until placement is confirmed with an x-ray.
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