An elderly client's small-bowel obstruction has resolved and her intestinal decompression tube has been ordered to be removed. When performing this nursing action, what should the nurse prioritize?
A) Instill a small amount of water to provide lubrication while withdrawing the tube.
B) Remove the tube slowly to avoid injuring the client.
C) Change from continuous to intermittent suction during removal.
D) Aspirate the tube while removing it in order to normalize pressure.
B
Feedback:
An intestinal decompression tube is removed slowly because removal is in a reverse direction through the curves of the intestine and the valves of the lower and upper ends of the stomach. The tube is withdrawn 6 to 10 in. (15 to 25 cm) at 10-minute intervals. It is incorrect to aspirate or instill water during removal and the suction should be turned off, not merely changed to intermittent suction.
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