18 Questions
How far should the tube be passed with each swallow?
5 to 10 cm
What should you do if you meet resistance while inserting the tube?
Rotate the tube and try to proceed
What is the typical pH range of gastric contents?
pH 1 to 5
What is the significance of a pH of 6 or greater?
It indicates the contents are from the intestinal tract
What is the purpose of injecting 10 to 30 mL of air into the tube?
To ascertain correct tube placement
How should the tube be secured to the patient's nose?
With a 4-inch piece of tape, split at the bottom
What is the main purpose of passing a nasogastric tube through the nose and into the stomach?
To allow the patient to receive nutrition through tube feeding
What type of NG tube is equipped with a one-way valve that allows air to enter and prevents reflux of gastric contents?
Double lumen NG tube
Why is it important to assess the patient's history before inserting an NG tube?
To identify any recent facial trauma, polyps, blockages, or surgeries
What is the purpose of auscultating for bowel sounds or peristalsis during the assessment phase of NG tube insertion?
To assess the patient's bowel function
What is the first step in the procedure of inserting a tube?
Explain the procedure to the patient
Why is it important to verify the medical order for insertion of an NG tube?
To ensure the insertion of the NG tube is medically necessary
What is the purpose of measuring the distance to insert the tube?
To mark the tube with an indelible marker
What should the healthcare provider do before inserting the NG tube?
Perform hand hygiene and put on PPE, if indicated
Why is the patient asked to flex their head slightly back against the pillow?
To help the caregiver insert the tube
What should the patient do when the tube reaches the pharynx?
Touch their chin to their chest
Why is a topical anesthetic used during the procedure?
To numb the nostril and oropharynx
What should the caregiver do when the patient swallows during the procedure?
Advance the tube in a downward and backward direction
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