A nurse is inserting an NG tube. Identify the sequence the nurse should follow. (Move the steps of NG tube insertion on the left into the box on the right, placing them in the selected order of performance. All steps must be used.)
Place client in high Fowler's position.
Advance tube downward and backward.
Check position of tube and secure
Measure tube for placement.
Insert tube along the base of nares.
Lubricate the tube
The Correct Answer is A,D,F,E,B,C
A. Place client in high Fowler's position.
To prevent aspiration and align the esophagus for easier insertion.
D. Measure tube for placement.
From nose → earlobe → xiphoid process to determine proper depth.
F. Lubricate the tube.
Reduces friction and trauma during insertion.
E. Insert tube along the base of nares.
Following the nasal floor helps guide the tube correctly.
B. Advance tube downward and backward.
While instructing the client to swallow, helping the tube pass into the esophagus.
C. Check position of tube and secure.
Confirm placement (pH test or x-ray) and then tape to nose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Kale:
Kale is a dark leafy green vegetable high in calcium, making it a good non-dairy source for clients at risk of osteoporosis.
B. Zucchini:
Zucchini contains minimal calcium and is not a significant source for bone health.
C. Potatoes:
Potatoes are not high in calcium and do not contribute significantly to osteoporosis prevention.
D. Carrots:
Carrots are high in vitamin A, not calcium, and are not sufficient for increasing calcium intake.
Correct Answer is A
Explanation
A. Verify provider order to discontinue the tube:
The first action in the nursing process is to verify the provider’s order before removing any medical device. It ensures the action is legally and clinically appropriate.
B. Observe the amount and color of drainage:
Important to evaluate after the order is confirmed, but not the first step.
C. Perform hand hygiene and don gloves:
Necessary for infection control, but only after verifying the order.
D. Disconnect the tube from the wall suction:
This is part of the procedure itself, not the initial preparatory step.
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