NG Insertion
What is the purpose of checking pH when confirming NG tube placement?
What is "to determine the acid/base status of the aspirate as the stomach contents is acidic"?
List a typical solution that is used for NG irrigation
What is 0.9% Normal Saline or Sterile H2O
Is it necessary to check placement before removing an NG tube?
Yes or No
What is "Yes."
A patient with a nasogastric tube reports a sore throat and discomfort around the nose. The nurse notices redness and irritation at the nostril. Which complication is the patient most likely experiencing?
A) Aspiration pneumonia
B) Nasal mucosal erosion
C) Perforation of the esophagus
D) Intestinal obstruction
What is:
B) Nasal mucosal erosion
What should you do if the patient coughs violently during insertion?
What is "stop the insertion process and remove the nasogastric tube"?
What is the purpose of NG tube irrigation?
What is "To ensure that the NG tube remains patent."
How much solution is used to flush the NG tube prior to removal?
What is "10 mL."
The nurse is caring for a patient with an NG tube for enteral feeding. Which sign and symptom should prompt the nurse to suspect the complication of aspiration?
A) Sudden onset of coughing and difficulty breathing
B) Abdominal distention and nausea
C) Increased gastric residual volume
D) Pain and discomfort at the tube insertion site
What is:
A) *Sudden onset of coughing and difficulty breathing
Name one common complication of NG tube insertion
What is "improper insertion into the trachea or bronchi instead of through the esophagus."
Other possible responses include: trauma, pain, bleeding, irritation, aspiration, aspiration pneumonia, respiratory distress, pneumothorax, nasal erosion, pressure ulcer, sinus infection, esophageal perforation, coiling of NG tube, infection, accidental removal
According to your checkout guidelines, How much solution should be used for irrigation?
What is "30 mL."
According to your checkout guidelines, when do you apply gloves?
What is "before turning off the suction."
The nurse is responsible for verifying nasogastric tube placement. Which method is considered the most reliable for confirming the NG tube is correctly placed in the stomach?
A) Auscultation of air insufflation into the stomach
B) Testing the pH of gastric aspirate
C) Results from a chest x-ray
D) Measuring the length of the exposed tube
What is:
C) Results from a chest x-ray
Name the three words for the acronym NEX
What is "nose, earlobe, xiphoid process?"
What should the nurse do if the NG tube does not function when attempting to irrigate as priority?
What is "reposition patient to one of the sides, or have patient stand or ambulate in room."
During the removal of a nasogastric tube, the nurse instructs the patient to do which of the following to minimize the risk of aspiration?
A) Swallow water as the tube is being pulled out.
B) Cough continuously during the removal.
C) Hold their breath as the tube is removed.
D) Bear down as if having a bowel movement.
What is:
C) *Hold their breath as the tube is removed
Where was Dr. Godfrey born? (City and State)
Cincinnati, Ohio
What is the purpose of the nurse asking the patient to drink water from a straw at a specific time during the insertion of the NG tube?
What is "This allows for closure of the epiglottis so that the NG tube enters the esophagus."
When should the nurse obtain a new irrigation container and syringe once open?
What is "every 24 hours?"
What will you document after removal of the NG tube?
What is "patient's tolerance, amount of NG tube drainage in cannister, skin condition, irrigation amount, etc."
In the 3 skills to be performed today (insert, remove, and D/C NG tube) do you auscultate bowel sounds before each skill?
Yes or No
What is "No"?
Only for the NG insertion skill