A client with a rectal tube begins to experience diarrhea. What should the nurse do?
1. Clamp the tube
2. Remove the tube
3. Reposition the client
4. Attach a collection bag
2
Rationale 1: A rectal tube should not be used to manager diarrhea. The tube should not be clamped.
Rationale 2: The tube should be removed because a rectal tube is to relieve flatus and not manage diarrhea.
Rationale 3: Repositioning the client will have no effect.
Rationale 4: A rectal tube should not be left in place in the event the client experiences diarrhea.
Global Rationale: The tube should be removed because a rectal tube is to relieve flatus and not manage diarrhea. The tube should not be clamped. Repositioning the client will have no effect.
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