A nurse is caring for a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?
Explanation & Rationale
A) Increase the suction pressure as tolerated: Increasing the suction pressure is not recommended as it can cause damage to the gastric mucosa and lead to complications such as bleeding or ulceration. The suction pressure should be set according to the healthcare provider’s orders and the manufacturer’s guidelines. B) Flush the tube with 0.9% sodium chloride: Flushing the NG tube with 0.9% sodium chloride is an appropriate action to maintain patency and prevent clogging. This helps ensure that the tube remains functional for effective suction and reduces the risk of complications such as infection or blockage. C) Replace the NG tube every 24 hr: Replacing the NG tube every 24 hours is unnecessary and can cause discomfort and trauma to the client. NG tubes are typically replaced only when they become clogged, dislodged, or as per the healthcare provider’s orders. D) Position the client supine in bed: Positioning the client supine in bed is not recommended as it increases the risk of aspiration. The client should be positioned with the head of the bed elevated to reduce the risk of aspiration and promote proper drainage through the NG tube.