Medical-Surgical Nursing
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| What type of lubricant should you coat an NG tube with? | Water-based lubricant (e.g., KY jelly)
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| What position should the patient be in to insert an NG tube? | Fowler's position
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| What is a nursing intervention that can make insertion of an NG tube easier for a conscious patient? | Advise them to take sips of water
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| How can you tell if an NG tube is in the lungs? | Place the end of tube in a cup of water and ask the patient to cough; if the water bubbles, it's in the lungs
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| What's the only guaranteed way to check placement of an NG tube? | X-ray
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| What should you do before calling X-ray to check NG tube placement? | Use a bulb and place it on the end of the tube and place your stethoscope over the stomach; squeeze a small amount of air into the tube and listen for it in the stomach.
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| When is NG tube insertion contraindicated? | In patients with head surgery and facial surgery
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| What should you assess before NG tube insertion? | Nares
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| What should be a continuous assessment of an NG tube? | Nares, tube placement, nasal drainage
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| What should you do before you push anything down an NG tube? | Check the tube's placement
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| When feeding a patient through an NG tube, do you flush the tube first? | Yes
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| Should you use warm or cold fluids in an NG tube feeding? Why? | Warm, because cold fluids can cause gastric cramping
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| Why should you never hang more than 4-8 hours of feeding at a time? | Risk of infection
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| How often should you check residuals? | Every 4 hours, or as ordered
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| When should you call the doctor over residuals? | If it is more than 100 mL
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| What angle should you set the patient who is having continuous NG feedings? | 30 degrees
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| How long should as patient who is receiving intermittent NG feedings sit up after the feeding? | 30-60 minutes
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| What should the setting be if an NG tube is set to suction? | Low-intermittent
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| Why should you never set an NG tube to continuous suction? | It can cause gastric ulceration
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| What are some complications of an NG tube? | Pulmonary aspirate, diarrhea, constipation, tube occlusion, electrolyte imbalance, and fluid overload
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