12 hours ago During report, a nurse is informed that a patient has a nasogastric tube connected to continuous suction. ... B) Sengstaken-Blakemore C) Salem sump D) Ewald. C) Salem sump. A nurse is caring for a patient who has a nasogastric tube connected to suction. Which of the following should indicate to the nurse that the tube has become occluded? A ... >> Go To The Portal
When checking for nasogastric tube placement, the nurse should conduct which of the following procedures? Aspirate stomach contents and check the pH. Rationale: Checking the pH of stomach contents is the recommended method for checking tube placement.
X-ray examination of the chest and abdomen. During report, a nurse is informed that a patient has a nasogastric tube connected to continuous suction. The nurse should recognize that this patient must have which of the following types of tubes?
If gastric secretions are unable to move through the gastrointestinal tract and if the nasogastric tube is unable to evacuate the stomach due to an occlusion, nausea and vomiting will result. Why not A,B, C? A. As peristalsis returns, air and fluid move through the intestines, and bowel sounds become active.
A nasogastric tube should be placed for decompression for the removal of secretions. This will assist in relieving abdominal distention. Why not A, B, or D? A. In this case, a nasogastric tube would be placed for lavage, which is irrigation of the stomach in cases of poisoning. B.
Indications for Nasogastric Tube InsertionTo decompress the stomach and gastrointestinal (GI) tract (ie, to relieve distention due to obstruction, ileus, or atony)To empty the stomach, for example, in patients who are intubated to prevent aspiration or in patients with GI bleeding to remove blood and clots.More items...
After insertion, the nurse should immediately inspect the oropharynx to check for kinks and to ensure that the tube is not coiled.
Nurses can verify the placement of the tube by performing two of the following methods: ask the patient to hum or talk ( coughing or choking means the tube is properly placed); use an irrigation syringe to aspire gastric contents; chest X-ray; lower the open end of the NG tube into a cup of water ( bubbles indicate ...
Diagnostic indications for NG intubation include the following: Evaluation of upper gastrointestinal (GI) bleeding (ie, presence, volume) Aspiration of gastric fluid content. Identification of the esophagus and stomach on a chest radiograph.
Auscultation is most often used at the bedside to check for appropriate placement of a nasogastric tube. Sound generated by air blown through the tube is used to determine tube placement in the gastrointestinal tract.
Nursing ConsiderationsProvide oral and skin care. Give mouth rinses and apply lubricant to the patient's lips and nostril. ... Verify NG tube placement. Always verify if the NG tube placed is in the stomach by aspirating a small amount of stomach contents. ... Wear gloves. ... Face and eye protection.
The pH reading should be between 1-5.5. However, if you obtain a result of between 5-6 do not administer anything down the nasogastric tube. You must telephone your nurse or managing healthcare professional for further advice because the aspirate reading will need to be reconfirmed.
Locating the tip of the tube after passing the diaphragm in the midline and checking the length to support the tube present in the stomach are methods to confirm correct tube placement. Any deviation at the level of carina may be an indication of inadvertent placement into the lungs through the right or left bronchus.
A nasogastric tube (NG tube) is a special tube that carries food and medicine to the stomach through the nose. It can be used for all feedings or for giving a person extra calories. You'll learn to take good care of the tubing and the skin around the nostrils so that the skin doesn't get irritated.
The average daily nasogastric output was 440 +/- 283 mL (range 68-1565).