The nurse is helping a student prepare to insert a nasogastric tube for an adult client with a bowel obstruction. Which actions by the student indicate to the nurse that a review of the procedure is needed? (Select all that apply.)
a. Gathering supplies, including an 8 Fr Le-vin tube, sterile gloves, tape, and wa-ter-soluble lubricant
b. Performing hand hygiene and positioning the client in high Fowler's position, with pillows behind the head and shoulders
c. Attaching a 60-mL irrigation syringe to the end of the nasogastric tube before in-serting it into the nose
d. Instructing the client to extend the neck against the pillow once the nasogastric tube has reached the oropharynx
e. Checking for correct placement by checking the pH of the fluid aspirated from the tube
f. Securing the nasogastric tube by taping it to the client's nose and pinning the end to the pillowcase
g. Connecting the nasogastric tube to inter-mittent medium suction with an an-ti-reflux valve on the air vent
A, D, F
An 8 Fr nasogastric tube is too small for drainage of thick stomach contents. Sterile gloves are not needed for the procedure. The tube should be secured to the client's gown, not to the pillow-case, because it could become dislodged easily. The client's head should be flexed forward once the tube has reached the oropharynx. All the other actions are appropriate. A 60-mL irrigation syringe should be attached to the end of the tube before insertion so that gastric fluid does not erupt from the tube when it enters the stomach.
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