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Which of the following is the correct way to determine the appropriate length of nasogastric tube insertion for an adult patient?

A.

Measure from the nose to the earlobe to mid-umbilicus

B.

Measure from the nose to the xiphoid process.

C.

The tube length will be included in the physician's orders.

D.

Choose the adult-size tube.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Measuring to the mid-umbilicus is incorrect and would result in excessive tube length.
B. The correct method is to measure from the tip of the nose to the earlobe and then down to the xiphoid process. This ensures the NG tube reaches the stomach without unnecessary excess length.
C. The physician’s order typically specifies insertion of an NG tube, but not the length. Measurement is the nurse’s responsibility.
D. Selecting an “adult-size” tube does not determine insertion length; it only refers to the tube’s diameter.


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Related Questions

Correct Answer is C

Explanation

Rationale:
A. The prescriber is responsible for writing a clear and legible order, but the nurse should have clarified before administering.
B. The pharmacist helps verify medication orders but does not administer the medication.
C. The nurse is ultimately responsible for ensuring the order is clear and safe before administration. Administering a drug without clarification makes the nurse accountable for the error.
D. Errors are not considered “no fault”; accountability and corrective action are necessary to protect patient safety.

Correct Answer is D

Explanation

Rationale:
A. Agreeing and documenting without further action ignores the opportunity to promote patient safety.
B. Hiding medication in food without consent is unethical and violates patient rights.
C. Forcing medication is not appropriate and violates autonomy.
D. The first response is to educate the patient about the purpose and importance of the medication to promote understanding and encourage cooperation, even in cases of confusion.

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