Which of the following would demonstrate appropriate knowledge when inserting a nasogastric (NG) tube?
Petroleum based lubricant is applied to the tubing prior to insertion
If the patient begins to cough, the nurse asks them to take a drink of water
Sterile gloves are donned after measuring the nasogastric tube
The tube is rotated 180 degrees, and advanced when the patient swallows to help with ease of insertion
The Correct Answer is D
Rationale:
A. Petroleum-based lubricants should never be used because they can cause respiratory complications if aspirated. Water-soluble lubricant is recommended.
B. If the patient begins to cough, the nurse should stop the procedure immediately and check placement, as the tube may have entered the airway. Giving water at that time increases the risk of aspiration.
C. Sterile gloves are not required; NG tube insertion is a clean procedure, not a sterile one.
D. Rotating the tube 180 degrees while advancing as the patient swallows facilitates smooth passage into the esophagus, reducing discomfort and preventing coiling in the pharynx.
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Correct Answer is D
Explanation
Rationale:
A. Petroleum-based lubricants should never be used because they can cause respiratory complications if aspirated. Water-soluble lubricant is recommended.
B. If the patient begins to cough, the nurse should stop the procedure immediately and check placement, as the tube may have entered the airway. Giving water at that time increases the risk of aspiration.
C. Sterile gloves are not required; NG tube insertion is a clean procedure, not a sterile one.
D. Rotating the tube 180 degrees while advancing as the patient swallows facilitates smooth passage into the esophagus, reducing discomfort and preventing coiling in the pharynx.
Correct Answer is C
Explanation
Rationale:
A. Measuring only from the nose to the xiphoid process omits the earlobe landmark, leading to inaccurate length.
B. Measuring from the earlobe to the xiphoid process also omits part of the required distance.
C. The correct measurement for NG tube insertion is from the tip of the nose → earlobe → xiphoid process. This ensures the tube is long enough to reach the stomach without being excessively long.
D. Measuring only to the earlobe is incomplete and far too short for gastric placement.
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