The nurse is caring for a client with a nasogastric (NG) tube after an episode of GI bleeding.Which interventions are included in the nursing care plan?
A) Monitor and record intake and output every 8 hours.
B) Monitor hemoglobin and hematocrit laboratory values.
C) Ensure that suction is set on high continuous for Levin tubes.
D) Measure the client's girth and/or assess for distention daily.
E) Pin the tube to the client's gown, so it cannot be dislodged.
F) Check vital signs and orthostatic blood pressure every 4 hours and PRN.
Correct Answer:
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