A student nurse is precepting on the unit and caring for a client with a Dobbhoff nasoenteric tube. Which statement by the student nurse indicates the need for further teaching on caring for a client with this tube? Select all that apply.
“I should wait for X-ray confirmation before using the tube.”
“I can confirm placement by auscultating over the epigastric area.”
“I can mix liquid medications in with the tube feeding for administration.”
“I will flush the tube with 20 to 30 mL of water every 4 hours during continuous tube feeding.”
“I will observe the client for diarrhea, abdominal distention, nausea and vomiting, and tube dislodgement.”
Numbers 2 and 3 are correct.
The most accurate method to confirm placement is by X-ray. Auscultation may not be reliable, especially with small-bore tubes. Medications should never be mixed with the tube feeding. The student nurse should hold the feeding and flush with 20 to 30 mL of water before giving any medications. She should follow medication administration with another flush and then resume feeding. Options 1, 4, and 5 are correct tube management techniques.