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The Nurse Is Feeding a Confused Client Via a Small-Bore

Question 40

Multiple Choice

The nurse is feeding a confused client via a small-bore nasoenteric tube.  The nurse observes the client pulling at the tube and then notices an increase in external tube length from the original exit mark.  After immediately stopping the feeding, which action is appropriate for the nurse to take next?


A) Advance the tube to the original exit mark, check gastric aspirate pH, and resume feeding
B) Contact the health care provider to request a prescription for hand mitts
C) Contact the health care provider to request an x-ray to verify tube placement
D) Reinsert the guide wire and advance the tube to its original exit mark

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