Difficulty: Medium
Average Score: 63%
Simulated
A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the nurse perform first?
Correct answer
D
Rationale
The correct answer is D: Evaluate the functioning of the suction device. The nurse should first ensure that the suction device is functioning properly to prevent aspiration or complications. This step takes priority over other actions because it directly affects the client's safety and well-being. Providing oral hygiene care (choice A) can wait until the suction is functioning adequately. Administering an antiemetic medication (choice B) may help with vomiting but does not address the immediate risk of aspiration. Replacing the NG tube (choice C) is not necessary if the suction device is working properly.