NGT Insertion

A. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and then down to the xiphoid process. -> NEX (Nose, Earlobe, Xiphoid process)

A newly RN nurse is about to insert a nasogastric tube to a client. To determine the accurate measurement of the length of the tube be inserted, the nurse should: A. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and then down to the xiphoid process. B. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and then down to the top of the sternum. C. Place the tube at the tip of the nose, and measure by extending the tube down to the chin and then down to the top of the xiphoid process. D. Place the tube at the base of the nose, and measure by extending the tube to the earlobe and then down to the top of the sternum.

False. Water is not absorbed which causes diarrhea

True or False. Diarrhea occurs when the large intestine reabsorbs too much water from solid waste.

False. Peristalsis, not segmentation

True or False. Food is slowly moved down to the large intestine through a muscular contraction called segmentation.

True. This is an invasive procedure not included in the general consent during admission.

True or False. Nasogastric tube insertion procedure requires separate consent.

False. Water based lubricants are used. Oil-based lubircants could cause respiratory complications if it enters the lungs.

True or False. Oil-based lubricants are used during NG tube insertion to allow easy insertion and lessen discomfort.

False. Place the *plastic tube* in a basin of warm water, not ice. Rationale: Warm water allows the tubing to become more pliable and flexible. *Rubber tube* is soaked in ice for 5-10 minutes.

True or False. Plastic NG tubes are soaked in ice to make it firm enough prior to insertion.

False. Select the nares with the greater airflow. *Ask the client to hyperextend the head, and, using a flashlight, observe the intactness of the tissues of the nostrils, including any irritations or abrasions. *Examine the nares for any obstructions or deformities by asking the client to breathe through one nostril while occluding the other.

True or False. The NG tube is inserted into the naris which has a smaller airdow to save the other one with higher airdow.

True

True or False. The intestine carries trillions of resident microorganisms.

True

True or False. The small intestine if stretched can reach up to 15 feet long.

False. Mechanical digestion: mouth Chemical digestion: SI

True or False: Digestion takes place mostly in the large intestine.

False. The villi of the small intestine greatly increases the surface area for food absorption and adding digestive secretions, not create more enzymes.

True or False: The villi in the intestine are important because they create more enzymes so more digested food can be absorbed in the body.

C. Keep the patient's head flexed. Insert the tube, with its natural curve downward, into the selected nostril. Ask the client to hyperextend the neck, and gently advance the tube toward the nasopharynx. Rationale: Hyperextension of the neck reduces the curvature of the nasopharyngeal junction.

Which of the following is NOT an expected nursing action while the physician is in the act of inserting the NG tube through the nostril? A. Instruct client to swallow while the tube is being inserted. B. Watch for any signs of respiratory distress. C. Keep the patient's head flexed. D. Offer sips of water if the gag re1ex is stimulated.

13 In pediatric patients, add 16 to pt's age (years), & then divide by 2. [(10 + 16)/ 2)] = 13 fr

You are assigned to care for a 10-year-old child scheduled for NG tube insertion. Which of the following is the correct NG tube size to be prepared for the child? A. 13 B. 12 C. 14 D. 10

D. Decreased or absent peristalsis increases the risk of aspiration and/or abdominal distention.

You assessed the patient scheduled for NG tube insertion for the presence of bowel sounds. Which of the following is the rationale for the said assessment? A. Decreased or absent peristalsis can dislodge the placement of the NG tube. B. Decreased or absent peristalsis increases add to the discomfort during insertion of the NG tube C. Decreased or absent peristalsis poses a risk for esophageal or stomach perforation with the presents D. Decreased or absent peristalsis increases the risk of aspiration and/or abdominal distention.

D. Following the physician's order for an X-ray to confirm placement.

You just inserted a Nasogastric tube. Which of the following is the most ideal way to check for the correct placement of the tube? A. Checking the pH of GI contents to be from 1 to 3.5 B. Obtaining a sample of GI contents through the tube by aspirating C. Administering a 100cc water 1ush and assessing for patient coughing D. Following the physician's order for an X-ray to confirm placement.