A nurse cares for a client who has a nasogastric (NG) tube. Which ...

[karen]

A nurse cares for a client who has a nasogastric (NG) tube. Which actions should the nurse take? (Select all that apply.)
 
  a. Assess for proper placement of the tube every 4 hours.
  b. Flush the tube with water every hour to ensure patency.
  c. Secure the NG tube to the client's upper lip.
  d. Disconnect suction when auscultating bowel peristalsis.
  e. Monitor the client's skin around the tube site for irritation.

Question 2

A nurse plans care for a client who has chronic diarrhea. Which actions should the nurse include in this client's plan of care? (Select all that apply.)
 
  a. Using premoistened disposable wipes for perineal care
  b. Turning the client from right to left every 2 hours
  c. Using an antibacterial soap to clean after each stool
  d. Applying a barrier cream to the skin after cleaning
  e. Keeping broken skin areas open to air to promote healing

[stallen]

Answer to Question 1

ANS: A, D, E
The nurse should assess for proper placement, tube patency, and output every 4 hours. The nurse should also monitor the skin around the tube for irritation and secure the tube to the client's nose. When auscultating bowel sounds for peristalsis, the nurse should disconnect suction.

Answer to Question 2

ANS: A, B, D
The nurse should use premoistened disposable wipes instead of toilet paper for perineal care, or mild soap and warm water after each stool. Antibacterial soap would be too abrasive and damage good bacteria on the skin. The nurse should apply a thin layer of a medicated protective barrier after cleaning the skin. The client should be re-positioned frequently so that he or she is kept off the affected area, and open skin areas should be covered with DuoDerm or Tegaderm occlusive dressing to promote rapid healing.