A patient is recovering from a Billroth I procedure and has a nasogastric Levin tube set to low intermittent suction. As the patient turns in bed, the Levin tube is partially pulled out. Which action should the nurse take?

a. Notify the registered nurse (RN).
b. Irrigate the tube.
c. Advance the tube.
d. Place suction on continuous.


ANS: A
The nurse needs to inform the RN or physician because the tube will need to be repositioned. The physician typically is the one that does the repositioning after gastric surgery so the suture line is not affected. B. C. D. The nurse should not irrigate the tube, advance the tube, or place the tube on continuous suction since these actions could injure the suture line.

Nursing

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