A patient with a nasogastric tube (NG) is complaining of abdominal pain and feeling full. The patient underwent a colon resection 2 days ago and states that the discomfort has been progressing. What should the nurse do first?
Explanation
• When an NG tube is plugged and the stomach cannot be suctioned, contents may collect in the stomach causing discomfort and fullness.
• Checking the patient's vital signs can be done, but NG patency is a priority.
• Although the patient is at risk for post-surgical complications such as bleeding, the nurse should first assess the patient before notifying the physician.
• Auscultation of bowel sounds is not within the nursing assistant's scope of practice. Assessment is part of the nursing process and may not be delegated.