Questions: A physician asks the nurse to obtain a Salem sump tube for gastric intubation for a client with a bowel obstruction. The nurse would select which tube from the unit storage area? 1) Miller-Abbott tube 2) Sengstaken-Blakemore tube (3) Tube with just a single lumen (4) Tube with a lumen and an air vent Rationale, Strategy, Reference, Tip

A physician asks the nurse to obtain a Salem sump tube for gastric intubation for a client with a bowel obstruction. The nurse would select which tube from the unit storage area? 1) Miller-Abbott tube 2) Sengstaken-Blakemore tube (3) Tube with just a single lumen (4) Tube with a lumen and an air vent Rationale, Strategy, Reference, Tip
Transcript text: A physician asks the nurse to obtain a Salem sump tube for gastric intubation for a client with a bowel obstruction. The nurse would select which tube from the unit storage area? 1) Miller-Abbott tube 2) Sengstaken-Blakemore tube (3) Tube with just a single lumen (4) Tube with a lumen and an air vent Rationale, Strategy, Reference, Tip
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Solution

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The answer is the fourth one (4): Tube with a lumen and an air vent.

Explanation for each option:

  1. Miller-Abbott tube: This is a type of nasoenteric tube used for intestinal decompression, not typically for gastric intubation. It is not the correct choice for a Salem sump tube.

  2. Sengstaken-Blakemore tube: This is a specialized tube used to control bleeding from esophageal varices, not for gastric intubation or decompression. It is not the correct choice for a Salem sump tube.

  3. Tube with just a single lumen: A single lumen tube does not have the additional air vent that characterizes a Salem sump tube, which is used to prevent the tube from adhering to the stomach wall and to allow for continuous suction.

  4. Tube with a lumen and an air vent: This describes a Salem sump tube, which is specifically designed for gastric intubation. It has a double lumen, one for suction and drainage and the other as an air vent to prevent the tube from adhering to the stomach lining.

In summary, the correct choice for a Salem sump tube is option 4, as it has both a lumen and an air vent, which are essential features for its intended use in gastric intubation.

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