Using Gibb’s Reflective Cycle Model, reflect on when you engaged

A nurse is assisting with the care of a client. Which of the following findings indicate a complication with the client’s PEG tube? Exhibit 1 Exhibit 2 Select all that apply. Nurses’ Notes Day 1, 0800: Gastric PH Client receiving continuous enteral feeding via percutaneous Lung sounds endoscopic gastrostomy (PEG) tube. Skin around tube site is Gastric residual clean with no indications of inflammation. Bowel sounds are normoactive in all quadrants. Abdomen is soft and non-tender. Neurological status Client is alert and oriented to person, place, and time. Lungs Blood pressure sounds are clear to auscultation. S1, $2 heard, no murmur Speech detected. Denies pain. Tube patency Day 1, 2000: Bowel sounds Nurse is preparing to administer medications via PEG tube. Site Cough is clean, dry, and intact. Bowel sounds are normoactive in all quadrants. Abdomen is soft and non-tender. Aspirated contents of tube and pH is 7.2. Gastric residual 620 mL. Flushed tube with 30 mL of water and tube is patent. Client’s bed elevated to 30. Lungs sounds are diminished in bases. Intermittently non- productive cough noted. Speech is gurgled. Client is oriented to person, place, and time. Client has +2 pedal pulses. Capillary refill less than 2 seconds.

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