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A client with peptic ulcer disease receives a prescription for intermittent suction via a Salem Sump nasogastric tube (NGT). After inserting the NGT and obtaining coffee ground gastric contents, the nurse clamps the NGT because the client must leave the unit for diagnostic studies. Upon return to the unit, the client complains of nausea. Which action should the nurse implement first?

a. Connect the NGT to low intermittent suction
b. Irrigate the NGT with sterile normal saline
c. Provide oral suction using a Yankauer tip
d. Administer a prescribed antiemetic agent

Answer :

Final answer:

Upon returning from diagnostic studies, a client with a nasogastric tube experiencing nausea should have their NGT connected to low intermittent suction as the first step to alleviate nausea.

Explanation:

The nurse's first action for a client who has a Salem Sump NGT and is experiencing nausea upon returns should be to connect the NGT to low intermittent suction (option a). This is because after a procedure or diagnostic studies, gastric secretions may build up causing nausea since the tube was clamped. Restoring the intermittent suction will help to decompress the stomach and alleviate the client's nausea. Other options, although may be performed later, should not be the first step. These include irrigating the NGT which is performed to maintain the patency, or providing oral suction for secretion, or administering antiemetic agents.

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