Nasogastric Tube (NG)

Question 1

What position should the client be in during NG placement?

Answer 1

High fowlers with head tilted foward

Question 2

NG tube measurement

Answer 2

Nose to stomach

Question 3

Salem sump

Answer 3

Double lumen of NG tube used to decompress the stomach

Question 4

What are the measuring points for process determining length of NG tube

Answer 4

Nose to earlobe to xiphoid

Question 5

If client starts to gag during NG tube what do you do

Answer 5

continue on offer water to help the tube go down

Question 6

What should be done before using NG tube for the first time

Answer 6

Xray for placement
Aspirate for gastric content (PH should be less than 4)

Question 7

If NG is to suction should the nurse turn off to give oral meds?

Answer 7

Yes for at least 30 minutes

Question 8

If the client vomits during placement what do you do?

Answer 8

Wait a few minutes then proceed

Question 9

Reasons not to use NG tube

Answer 9

Facial trauma, deviated or swollen septum

Question 10

Where should you stand during placement of NG tube?

Answer 10

whichever hand is YOUR dominant hand

Question 11

Should you put lube on an NG tube

Answer 11

yes - use a water-soluble lubricant at proximal tip

Question 12

Clinical priority for NG tube

Answer 12

Assign a hand signal prior to insertion for communication