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A nurse is caring for a patient who has an NG tube that is to be irrigated every 8 hours. Which of the following should be used to irrigate the tube in order to maintain fluid and electrolyte balance?

1) Normal saline solution
2) Distilled water
3) Tap water
4) Sterile water

User Gilsdav
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1 Answer

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Final answer:

To maintain fluid and electrolyte balance while irrigating an NG tube, sterile normal saline solution should be used because it is isotonic and matches the body's fluid composition, ensuring patient safety and comfort.

Step-by-step explanation:

To irrigate an NG tube, which is used to maintain fluid and electrolyte balance, the preferred solution to use is normal saline solution. This solution is isotonic, which means it has the same salt concentration as the blood and other body fluids. Using an isotonic solution is important to maintain fluid balance and prevent shifts in water that could potentially damage cells and tissues. Both normal saline and lactated Ringer's solution, which are regular intravenous solutions used in medicine, are isotonic for this reason.

When a dehydrated patient requires intravenous fluids, they are often given a saline solution that is isotonic with respect to body fluids, like normal saline or lactated Ringer's solution. This closely matches the body's own fluid composition and helps to restore proper fluid and electrolyte balance without causing harm or discomfort to the patient. The process of preparing an isotonic solution entails calculating the correct dilution of solutes to match the desired concentration.

In the context of health care, maintaining sterile conditions is also critical, which is why for irrigation of an NG tube or intravenous administration, sterile solutions are employed to prevent infection. Hence, the best choice for NG tube irrigation in this scenario would be sterile normal saline solution.

User Santoku
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