Placement
Insertion
Equipment
Feedings
Medications and Flushing
100
This is the gold standard for verifying NG tube placement
What is an X-ray?
100

How to estimate length of tube needed for initial insertion.

What is measuring from the tip of the nose, to the earlobe, to the xiphoid process??

100

You provide this before and after NG tube insertion for patient comfort.  

What is oral care?

100

What you assess BEFORE beginning an enteral feeding.  

What is the abdomen, bowel sounds and tube placement?

100

Before a medication is given, this is used to flush the NG tube, NOT tap water

What is sterile water?

200

This is the normal pH of gastric aspirate

What is <4 unless on proton pump inhibitor?

200
Asking the patient to do this during insertion will help guide the NG tube into the stomach
What is swallowing water?
200

What you use to check gastric contents.

What is a 60cc syringe?

200
Administering feedings too fast can lead to this
What is diarrhea?
200

This type of medication should never be crushed and given through an NG tube.

What is "sustained release" or "enteric coated"?

300

This is a common cause of NG tube displacement

What is coughing or vomiting?

Will accept confused/combative client, not being secured properly, or on purpose.   

300
Elevating the head of the bed to this angle can help prevent aspiration
What is 30-45 degrees?
300

This stabilization device is attached to the nose

What is a tape or a securing device?

300
This is how often enteral feeding containers and administration sets should be discarded
What is every 24 hours?
300

This is used to flush an NG tube before it is discontinued

What is air or water?

400

How to ensure at the bedside that the tube position hasn't changed from the previous time you assessed

What is measure the length of the tubing from the nostril to the end of the tube and compare to previous reading?

400

The nostril you choose to insert the NG tube into.

What is the most patent nostril?

400

This helps prevent the NG tube from sticking to the stomach tissue.

What is an air vent (also called a pigtail)?

400

Keep the HOB 30-45 degrees to decrease aspiration risk for this long after feeding.  

What is at least 1 hour?

400

The most common amount of milliliters used when flushing a feeding tube? 

What is 30 mL?

500

Your first concern when a client begins to cough and their oxygenation begins to drop while inserting an NG tube. 

What is placement into the lung?

500
This tool is used to place an NG tube in a comatose patient
What is a stylet?
500
This acid base imbalance can be caused by excessive gastric suctioning
What is metabolic alkalosis?
500

This nurse should check this before beginning a new feeding

What is gastric residual volume (GRV)?

500
These drugs interfere with the pH test of NG tube placement
What are Proton Pump Inhibitors?