A patient with a small-bowel obstruction has a nasogastric tube connected to low intermittent suction. Which nursing action is appropriate?
Correct answer: A. Measure and document the drainage regularly
- A. Measure and document the drainage regularly
- B. Clamp the tube after every episode of nausea
- C. Flush the tube routinely with a large volume of water
- D. Place the patient flat to improve abdominal drainage
Explanation
The nurse measures drainage, assesses its colour and amount, and monitors fluid and electrolyte losses. Routine clamping can increase distension, large unprescribed flushes may worsen fluid imbalance, and a flat position does not improve decompression.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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