What should the nurse anticipate for a patient who has vomited and exhibits gastric distention while receiving nutrition via SBT?

For a patient who has vomited and shows signs of gastric distention while receiving nutrition via a jejunal feeding tube (SBT), the appropriate response is to decompress the stomach using a nasogastric (NG) tube. Vomiting and gastric distention indicate that the stomach is unable to effectively process the nutrition being provided, which may lead to further complications such as aspiration or increased discomfort for the patient.

Inserting an NG tube allows for the removal of excess stomach contents and decompression, which can relieve pressure and prevent further vomiting. This intervention is critical in managing symptoms and stabilizing the patient's condition.

In contrast, administering more nutrition could exacerbate the distention and contribute to more vomiting. Switching to oral feeding may not be appropriate given the existing issues with gastric emptying. Starting IV fluids might be necessary if the patient is dehydrated; however, it does not address the underlying issue of gastric distention and vomiting.