NCLEX-PN

First page Table of contents Previous page 480 Next page Last page

3. Position the client in a high Fowler's position and inspect both nares. 4. Select the most suitable nare for tube insertion. 5. Measure the nasogastric tube from the nose to the earlobe to the tip of the xiphoid process and mark it with tape. and water-soluble lubricant to the tube's tip. 7. Provide the client with a small cup of water and a straw if they can safely drink. 8. Instruct the client to look up, hyperextending their neck. 6. Apply topical anesthetic

9. Gently advance the nasogastric tube until you encounter resistance at the nasopharynx. 10. Continue to advance the tube below the nasopharynx curve while the client takes small sips of water, leaning forward. 11. Confirm the correct placement of the nasogastric tube. 12. Secure the tube to the nose with tape and attach the tubing to the client's gown using a safety pin. 13. Clamp the tube or connect it to the suction device if ordered.

Removing the Nasogastric Tube : Once again, ensure that you have the appropriate order, confirm the client's identity using two unique identifiers, and explain the procedure to the client. Follow these steps: 1. Perform hand hygiene 2. Don gloves 3. Remove the securing tape anchor from the nose. 4. Disconnect the tubing from suction and/or clamp it. 5. Ask the client to take a deep breath as you gently remove the tube. 6. Clean the client's nares and provide oral hygiene. Maintaining a Nasogastric Tube : Nasogastric tube maintenance involves several aspects: ● Perform daily nare care and mouth care. ● Monitor the tube's patency regularly. ● Measure and document all nasogastric drainage, including its amount, color, and other characteristics. ● If the tube is used for feedings or medication administration, irrigate it before and after each feeding or medication. Following these steps ensures the safe and effective use of nasogastric tubes for various medical purposes.

473

Made with FlippingBook - Share PDF online