A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?

A. Avoid replacing the NG tube if it is accidentally dislodged: If the NG tube is accidentally dislodged, it should be replaced to maintain gastric decompression unless contraindicated. This option is incorrect.
B. Irrigate the blue pigtail port with sterile saline.

This is the correct answer. In a double-lumen nasogastric (NG) tube, one lumen (usually blue) is used for gastric decompression (removal of gastric contents), and the other lumen (usually white) is used for air venting and irrigation. Irrigating the blue pigtail port with sterile saline is part of the nursing care to maintain tube patency and prevent blockage.
C. Verify tube placement by injecting air into the larger lumen: Tube placement verification is typically done by auscultating for air while injecting air into the smaller lumen (air venting and irrigation lumen), not the larger lumen. Injecting air into the larger lumen does not serve this purpose and can be dangerous. This option is incorrect.

D. Avoid the nares when providing hygiene care: Proper hygiene care around the nares is essential to prevent irritation and breakdown of the skin. However, this option does not specifically address the care of the NG tube itself. This option is incorrect.

A. Prior to percussing the abdomen
Bowel sounds are typically auscultated before performing any other abdominal assessments. This allows the nurse to get an accurate representation of the client's bowel activity without any interference from other assessment techniques.

B. Prior to inspecting the abdomen
Inspecting the abdomen involves observing for any visible abnormalities, such as distension or lesions. Bowel sounds are auscultated first to get an initial sense of the client's gastrointestinal activity.

C. After checking for kidney tenderness
Kidney tenderness assessment is not directly related to bowel sounds. These assessments are separate and do not impact each other's sequence.

D. After palpating the abdomen
Palpating the abdomen should be done after auscultation. Palpation can stimulate bowel activity, potentially altering the natural bowel sounds. Therefore, it is essential to auscultate the abdomen before palpating it.