Inserting Nasogastric Tube in Conscious Patients

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10 Questions

What is the purpose of using a topical anesthetic when inserting a nasogastric tube?

To help reduce reflexes and discomfort

Why is it important for the patient to be awake, alert, and able to talk during the nasogastric tube insertion procedure?

To ensure they can follow instructions like swallowing during insertion

Where should the nasogastric tube be measured from for insertion?

From the epigastrium to the nose

Why is it important for the nurse to coach the patient to swallow during nasogastric tube insertion?

To help the tube pass through the esophagus into the stomach

How can correct placement of a nasogastric tube be confirmed?

By inserting air and listening for bubbling in the epigastric region and the absence of air in the lungs

The nasogastric tube insertion procedure requires the patient to be unconscious.

False

Topical anesthetic is a necessary equipment for nasogastric tube insertion.

False

The nasogastric tube should be measured from the epigastrium to the nose for insertion.

True

The bevel tip of the nasogastric tube allows insertion only through the right nostril.

False

Correct placement of the nasogastric tube is confirmed by observing bubbling in the lungs.

False

Study Notes

  • The text explains the process of inserting a nasogastric tube into a conscious patient.
  • The patient should be awake, alert, and able to talk during the procedure.
  • Equipment needed includes an ngog tube, syringe, and topical anesthetic (optional).
  • Measure the tube from the epigastrium to the nose for insertion.
  • Use topical anesthetic to help reduce reflexes and discomfort.
  • Coach the patient to swallow as the tube is inserted, allowing it to pass through the esophagus into the stomach.
  • The tube has a bevel tip and can be inserted into either nostril.
  • Secure the tube with tape or other skin-safe material after placement.
  • Confirm correct placement by inserting air and listening for bubbling in the epigastric region and the absence of air in the lungs.

Learn about the process of inserting a nasogastric tube into a conscious patient, including equipment needed, measuring for insertion, using topical anesthetic, coaching the patient, securing the tube, and confirming correct placement.

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