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NG Tube
| Question | Answer |
|---|---|
| Tube inserted through one nostril down the nasopharynx into alimentary tract | Nasogastric tube |
| Double lumen small tube allows inflow of air large tube drains stomach contents | Salem Sump Tube |
| Single lumen Intermitten | Levin Tube |
| Small bore tube 40 inches For pt at risk for aspiration | Feeding Tube |
| How to measure for placement | Tip of no to tip of earlobe to tip of xiphoid process mark length with tape |
| Check for placement | PH of 5.5 or lower indicates in the stomach |
| What type of feeding tube would be most appropriate for a patient requiring enteral feeding for a long period of time | Gastrostomy Tube |
| The nurse is preparing to administer medication via a nasogastric tube what guidelines is appropriate for the nurse to follow when administering a drug via this route | Flush the tube with water between each drug administered |
| The nurse is preparing to auscultate the bell sound of a client with a nasogastric tube in place to low intermittent suction how shall the nurse approach the assessment of vowel sounds and manage the nasogastric tube | Disconnect the nasogastric tube from suction during the assessment of bowel sounds |
| What is the most reliable method for verifying the correct placement of a nasogastric tube | Radiologic confirmation of position |
| Accurate step when removing a nasogastric tube | Before removing the tube disconnect suction and separate the tube from suction |
| A student nurse is administering medication through a nasogastric tube connected to continuous suction. how will the student do this accurately | Disconnect tubing from the suction before giving drugs and clamp tubing for 20 to 30 minutes |
| An oral medication has been ordered from a patient who has a nasogastric tube in place which nursing activity would increase the safety of medication administration | Check the tube placement before administration |
| When a nurse attempt to pass a NG tube through the patient pharynx the patient begins to cough and show signs of respiratory distress which of the following would be an appropriate intervention in this situation | Stop advancing the tube and pull back into the nasal area |
| The nurse identify the correct steps for removal of an NG tube place to step in sequence order | Identify the client Raise the bed to 30 - 45 Put on non sterile gloves Discontinue suction Remove tube while client holds breath |
| Under center the client room to perform a tube feeding what nursing action should be performed First | Aspirate stomach contents and check pH |
| You are preparing to insert a NG tube into an adult patient arrange the following steps in the correct order | Place patient in high Fowler's position Measure intended length to insert the NG tube Lubricate the tube tip with water soluble lubricant Direct tube upward,backward along floor of the nose Instruct patient to place chin on chest Advance tube while patien |
| You have presented an inservice about NG tubes identify reasons NG tube would be placed in a patient | |
| As a tube is passing through the pharynx,pt begins to gag | Stop procedure,continue to advance when pt is ready |
| And nurses and able to pass the tube after trying a second time down one nostril | Inspect other nostril attempt to pass to if unable to pass, consult another health professional |
| As tube is passing through pharynx, patient begins to cough and show signs of respiratory distress | Stop advancing tube Most likely entering trachea |
| No gastric contents can b aspirated |
Created by:
Rus9562