Question

a primary health care provider places a miller - abbott tube in a client who has a diagnosed bowel obstruction. six hours later, the nurse measures the length of the tube outside of the nares and notes that the tube has advanced 6 cm since it was first placed. based on this finding, which action would the nurse take next? answer options: 1. initiate a tube feeding 2. notify the registered nurse 3. document the finding in the clients record 4. pull the tube out 6 cm and secure the tube to the nose with tape

Explanation:

In nursing practice, when a change in the position of a tube (such as a Miller - Abbott tube) is noted, the nurse should first notify the registered nurse. This is to ensure appropriate assessment and further action as the movement of the tube may have implications for the client's care and the effectiveness of the tube in treating the bowel obstruction. Documenting is important but not the immediate next step. Initiating tube feeding without proper assessment may be inappropriate, and pulling the tube out is not a correct response to the tube advancing.

Answer:

1. Notify the registered nurse