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Nasogastric Tubes
Medical-Surgical Nursing
Question | Answer |
---|---|
What type of lubricant should you coat an NG tube with? | Water-based lubricant (e.g., KY jelly) |
What position should the patient be in to insert an NG tube? | Fowler's position |
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 |
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 |
What's the only guaranteed way to check placement of an NG tube? | X-ray |
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. |
When is NG tube insertion contraindicated? | In patients with head surgery and facial surgery |
What should you assess before NG tube insertion? | Nares |
What should be a continuous assessment of an NG tube? | Nares, tube placement, nasal drainage |
What should you do before you push anything down an NG tube? | Check the tube's placement |
When feeding a patient through an NG tube, do you flush the tube first? | Yes |
Should you use warm or cold fluids in an NG tube feeding? Why? | Warm, because cold fluids can cause gastric cramping |
Why should you never hang more than 4-8 hours of feeding at a time? | Risk of infection |
How often should you check residuals? | Every 4 hours, or as ordered |
When should you call the doctor over residuals? | If it is more than 100 mL |
What angle should you set the patient who is having continuous NG feedings? | 30 degrees |
How long should as patient who is receiving intermittent NG feedings sit up after the feeding? | 30-60 minutes |
What should the setting be if an NG tube is set to suction? | Low-intermittent |
Why should you never set an NG tube to continuous suction? | It can cause gastric ulceration |
What are some complications of an NG tube? | Pulmonary aspirate, diarrhea, constipation, tube occlusion, electrolyte imbalance, and fluid overload |