Which intervention should a nurse pursue first when caring for a client who has a nasogastric tube post-bowel resection?

In the scenario presented, the most critical intervention for the nurse to pursue first is checking the placement of the nasogastric tube. This step is essential for ensuring that the tube is functioning properly and that the patient is safe. After a surgical procedure, like a bowel resection, there is a need to confirm that the tube is in the correct position in the stomach to prevent complications such as aspiration, which can occur if the tube is misplaced in the lungs.

Verifying tube placement typically involves checking for gastric aspirate, auscultating for air sounds, or using pH testing, depending on the facility protocols. This assessment ensures that any medications or fluids administered through the tube, as well as any suctioning, are done safely.

The other interventions, while important, are secondary to ensuring that the nasogastric tube is appropriately placed. Changing the dressing or documenting the client's status do not address immediate safety concerns. Administering medications through the tube is dependent on confirming the tube's placement first; administering medications when the tube is not properly positioned could lead to serious harm. Thus, prioritizing the verification of the tube's placement is the most appropriate first step in this circumstance.