NG Tube Insertion Procedure
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A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?
O Ask the client to cough while inserting the NG tube.
O Determine the length of the NG tube to be inserted prior to the procedure.
O Place the client into a left lateral position before inserting the NG tube.
O Wear sterile gloves to insert the NG tube.
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Step by Step Written Solution
In this question, we are asked to identify the correct action a nurse should take when inserting a Nasogastric, or N G, tube for a client.
Nursing Intervention: NG Tube Insertion
Let's examine each option systematically to find the correct clinical practice.
1. Ask the client to cough.
2. Determine the length of the tube prior to the procedure.
3. Place the client into a left lateral position.
4. Wear sterile gloves.
Starting with the first option, asking the client to cough. Coughing is actually a sign that the tube may have entered the airway rather than the esophagus. The nurse should ask the client to swallow, not cough, to facilitate correct placement.
Next, let's look at option three: positioning. A left lateral position is not ideal. To prevent aspiration and use gravity to help the tube move toward the stomach, the client should be placed in a high-Fowler's position.
Now for option four: sterile gloves. While hygiene is critical, N G tube insertion is a clean procedure, not a sterile one. Clean medical gloves are standard, so sterile gloves are unnecessary.
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