Question

15 of 50
the nurse observes that a clients nasogastric tube has suddenly stopped draining. the tube is connected to suction, the machine is on and functioning, and all connections are snug. after checking placement, the nurse gently flushes the tube with 30 ml of normal saline, but the tube still is not draining. the nurse would conclude that which is the problem, and what action would be taken?
answer options
1 this is a serious complication; the physician must be notified immediately.
2 it is a normal occurrence for a nasogastric tube to stop draining; no action is required.
3 thick gastric secretions may be blocking the tube; removing the tube and reinserting a new tube will correct the problem.
4 channels of gastric secretions may be bypassing the holes in the tube; turning the client will promote stomach emptying.
rationale, strategy, reference, tip

Explanation:

The nasogastric tube not draining despite proper machine - function, connections, and flushing is likely due to gastric secretions bypassing the holes. Turning the client can help realign and promote drainage. It's not a normal occurrence, and removing and reinserting is an extreme measure without trying other options first. Notifying the physician immediately may not be necessary as a first - step when simple nursing interventions can be attempted.

Answer:

1. Channels of gastric secretions may be bypassing the holes in the tube; turning the client will promote stomach emptying.