during report a nurse is informed that a patient has a nasogastric tube connected

Full Answer

When is a nurse informed that a client has a nasogastric tube?

A nurse is informed during shift report that a client has a nasogastric tube connected to continuous suction. The nurse should identify that this client must have which of the following types of tubes? Nice work! You just studied 7 terms!

How to verify the initial placement of a nasogastric tube?

-The nurse should identify that obtaining am x-ray is the most effective method to verify the initial placement of a nasogastric tube. A nurse is teaching a group of unit nurses about clients who have a need for gastric decompression.

What happens if the nasogastric tube is not working properly?

If gastric secretions are unable to move through the GI tract and if the nasogastric tube is unable to evacuate the stomach due to an occlusion, nausea and vomiting will result.) Nice work! You just studied 8 terms! Now up your study game with Learn mode. A nurse is performing a nasogastric intubation.

What is the job description of a nasogastric tube removal nurse?

1 Check physician’s order for removal of nasogastric tube. Ensures correct implementation of physician’s order. 2 Explain procedure to client. Explanation facilitates client cooperation and understanding. 3 Gather equipment. Makes every step within reach and provides for organized approach to task.

When checking for nasogastric tube placement the nurse should conduct which of the following?

When checking for nasogastric tube placement, the nurse should conduct which of the following procedures? Aspirate stomach contents and check the pH. Checking the pH of stomach contents is the recommended method for checking tube placement.

What is required to ensure that a nasogastric tube has been inserted correctly?

A nasogastric (NG) tube is a flexible plastic tube inserted through the nostrils, down the nasopharynx, and into the stomach or the upper portion of the small intestine. Placement of NG tubes is always confirmed with an X-ray prior to use (Perry, Potter, & Ostendorf, 2014).

What are two complications that can occur with an NG tube?

The main complications of NG tube insertion include aspiration and tissue trauma. Placement of the catheter can induce gagging or vomiting, therefore suction should always be ready to use in the case of this happening.

What are some priority assessments for a patient with an NG tube?

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.

How will you confirm the correct position of the NGT?

Ultrasound. The use of ultrasound at the neck can confirm NGT position in the esophagus and its use at the epigastrium can confirm a stomach placement. However, the esophagus can only be viewed via the ultrasound if it is in a laterotracheal position, and this was reported to only occur in about 50% of the population.

What nursing interventions are required when caring for a patient with a NGT?

Section 4 – NGT Care and Daily management in the hospitalCheck the patient's clinical record for the required level of NGT placement.Attend hand hygiene before touching the patient by either hand washing or using ABHR.Ensure privacy.Explain the process and purpose of checking the NGT.Obtain verbal consent.More items...

What are the complications associated with NGT feeding?

Reported complications of nasal tube feeding include nasopharyngeal lesions, sinusitis, aspiration, diarrhea, intestinal ischemia and metabolic derangements. Aspiration is reported in up to 89% of patients, with no clear advantage of nasoenteric over gastroenteric feeding.

What are nasogastric tube indications?

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.

What are the risks associated with the use of an NG tube?

Your NG tube can also potentially become blocked, torn, or dislodged. This can lead to additional complications. Using an NG tube for too long can also cause ulcers or infections in your sinuses, throat, esophagus, or stomach. If you need long-term tube feedings, your doctor will likely recommend a gastrostomy tube.

What nursing interventions must you consider in giving the tube feeding of the patient?

When beginning enteral feedings, monitor the patient for feeding tolerance. Assess the abdomen by auscultating for bowel sounds and palpating for rigidity, distention, and tenderness. Know that patients who complain of fullness or nausea after a feeding starts may have higher a GRV.

What are 3 complications of caring for the person with a nasogastric tube?

common complications include sinusitis, sore throat and epistaxis. more serious complications include luminal perforation, pulmonary injury, aspiration, and intracranial placement.

How should the nurse verify placement when inserting a nasogastric tube select all that apply?

Feeding tube placement should be verified either by x-ray (upon insertion) or by pH testing of aspirate before instilling anything through the tube.

What happens if a nasogastric tube is not able to move through the GI?

If gastric secretions are unable to move through the GI tract and if the nasogastric tube is unable to evacuate the stomach due to an occlusion, nausea and vomiting will result.) 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 ...

How many lumens does a gastric tube have?

The tube has two lumens; one removes gastric contents and the other serves as an air vent. The vent allows air to enter the stomach, allowing the tube to float freely and preventing damage to the gastric mucosa.) A patient recovering from gastric surgery remains NPO and has a nasogastric tube connected to suction.

What is nausea in GI tract?

Patient's report of nausea (Tubes connected to suction decompress the GI tract. This is needed when peristalsis is absent. If gastric secretions are unable to move through the GI tract and if the nasogastric tube is unable to evacuate the stomach due to an occlusion, nausea and vomiting will result.)