A patient is diagnosed with a bowel obstruction. The nurse chooses which type of tube for gastric decompression?

a. Salem sump
b. Dobhoff
c. Sengstaken-Blakemore
d. Small bore


A
A bowel obstruction causes a backup into the gastric area; a nasogastric tube may be inserted to decompress secretions and gases from the gastrointestinal tract. The Salem sump has the width and functionality needed to both feed and suction, and it is ideal for a bowel obstruction. A Dobhoff tube is used for instillation of feedings. A Sengstaken-Blakemore tube is used to compress stomach contents to prevent hemorrhage. A small bore is intended for nutritional feedings only and does not have suction capacity.

Nursing

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