What is the appropriate action for a nurse caring for a client with a small bowel obstruction and an NG tube in place?

Maintaining low intermittent suction is the most appropriate action for a nurse caring for a client with a small bowel obstruction who has an NG tube in place. This approach helps to alleviate pressure in the gastrointestinal tract while allowing for the opportunity to assess the output. Low intermittent suction can help to promote gastric emptying and prevent excessive negative pressure, which might cause further trauma to the gastric mucosa or stimulate the patient's vomiting.

This method aids in maintaining a balance between decompression of the bowel and the functions of the digestive system. It allows for better tolerance of the nasogastric tube and can help limit complications associated with prolonged suctioning, such as fluid and electrolyte imbalances or damage to the nasopharyngeal tissue. By using low intermittent suction, the nurse can encourage a more appropriate recovery environment for the patient until the obstruction is resolved.