You're putting it where?!
This tube is inserted through the nare and into the stomach.
What is a nasogastric tube?
Explain the procedure to determine the length of the tube to be inserted during NG insertion.
What is measure the distance from tip of nose to earlobe to xiphoid process of sternum?
Absence of these may indicate decreased in or absence of peristalsis and increased risk for aspiration or abdominal distension.
What are bowel sounds?
A feeding tube inserted through the mouth into the stomach.
What is a orogastric tube?
This is the most frequently used position for tube insertion and why.
What is high Fowler's position and allows easier manipulation of tube, reduces risk of aspiration and promotes effective swallowing?
During insertion your patient starts to cough, choke or become cyanotic. This is your next step.
What is stop advancing the tube and pull tube back to oropharynx?
A feeding tube inserted through the mouth into the jejunum (you must be able to spell it correctly to get a point).
What is a jejunostomy tube?
You do this prior to attempting nasogastric insertion.
What is check for a physician's order, recall contraindications in medical history, assess patient for patency and septal deviation and gather equipment.
The insertion of a nasogastric tube is a sterile procedure.
What is false?
This feeding tube is inserted endoscopically into the stomach (correct spelling required).
What is a percutaneous endoscopic gastrostomy (PEG) tube?
The equipment required for NG insertion.
What is:
Nasogastric tube without stylet 8-12 Fr
Antireflux valve
60-mL catheter-tip syringe
Irrigation container
500 mL sterile water
Stethoscope
pulse oximeter
Hypoallergenic tape
Transparent dressing
Cup of water and straw
Clean gloves
Suction equipment
Penlight
Tongue blade
Water-based lubricant
Oral hygiene supplies
Basin of water, soap, washcloth/towel
Your patient's Dr writes an order to insert a small bore feeding tube (with stylus). This is your next step.
What is refer to your buddy nurse as inserting tubes with a stylus is not within your scope of practice?
This feeding tube is inserted endoscopically into the jejunum (correct spelling required).
What is a percutaneous endoscopic jejunostomy (PEJ) tube?
There is an order on Mr. Baker's chart to insert a nasogastric tube for gastric decompression. Upon entering Mr. Baker's room to insert the NG, you explain who you are and the procedure you are to perform. Mr. Baker says that he knew nothing of this and refuses for the procedure to take place. What is your next step?
What is respect Mr. Baker's wishes? You can provide some patient teaching and ask if he would like to speak to the physician regarding this? Make your buddy/charge nurse aware as well as the patient's physician.
Nasogastric tubes are contraindicated in these four situations.
What are patients who have undergone recent nasal surgery, have sustained facial trauma, have nosebleeds or are receiving anticoagulation therapy?