A male client with a nasogastric tube connected to low intermittent suction tells the nurse that his mouth is very dry. Which action should the nurse implement?<\/p>\n\n\n\n
A.
Instill 50 mL of normal saline solution into the tube and clamp the tube for one hour.<\/p>\n\n\n\n
B.
Turn the suction off while allowing the client to rinse his mouth with cool water.<\/p>\n\n\n\n
C.
Provide oral sponge toothettes so the client can cleanse and moisten his mouth.<\/p>\n\n\n\n
D.
Teach the client that the oral mucosa must remain dry to prevent aspiration.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is C. Provide oral sponge toothettes so the client can cleanse and moisten his mouth.<\/strong><\/p>\n\n\n\n Clients with nasogastric (NG) tubes often experience dry mouth due to the suction effect of the tube, which removes not only gastric contents but also moisture from the oral cavity. It\u2019s important for the nurse to address this issue to ensure the client\u2019s comfort and prevent complications.<\/p>\n\n\n\n Option A: Instill 50 mL of normal saline solution into the tube and clamp the tube for one hour.<\/strong> This option is not appropriate because instilling saline into the NG tube can lead to aspiration, especially if the suction is reactivated too soon. Additionally, this action does not directly address the client’s dry mouth.<\/p>\n\n\n\n Option B: Turn the suction off while allowing the client to rinse his mouth with cool water.<\/strong> While rinsing the mouth could provide temporary relief, it may increase the risk of aspiration if the client accidentally swallows water, especially since the NG tube is in place. Moreover, turning off the suction can lead to gastric distension and discomfort, which is undesirable.<\/p>\n\n\n\n Option C: Provide oral sponge toothettes so the client can cleanse and moisten his mouth.<\/strong> This is the best option as it directly addresses the dryness without the risks associated with the other options. Oral sponge toothettes allow for oral hygiene without the risk of aspiration and can help provide some moisture to the oral mucosa, enhancing comfort.<\/p>\n\n\n\n Option D: Teach the client that the oral mucosa must remain dry to prevent aspiration.<\/strong> This is incorrect, as a dry oral mucosa can lead to discomfort and increase the risk of oral infections. It’s essential for nursing care to focus on client comfort and hygiene, especially for those with NG tubes.<\/p>\n\n\n\n In summary, providing oral sponge toothettes (Option C) is the safest and most effective way to alleviate dry mouth in clients with nasogastric tubes.<\/p>\n","protected":false},"excerpt":{"rendered":" A male client with a nasogastric tube connected to low intermittent suction tells the nurse that his mouth is very dry. Which action should the nurse implement? A.Instill 50 mL of normal saline solution into the tube and clamp the tube for one hour. B.Turn the suction off while allowing the client to rinse his […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141982","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141982","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141982"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141982\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141982"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141982"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n