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18 Cards in this Set
- Front
- Back
Traditional method of measuring distance in which to insert NG tube
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Measure distance from tip of nose to earlobe, and from earlobe to inferior xiphoid process
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Three reasons why NG tubes are utilized:
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1) selected surgical procedures
2) vomiting and gastric distention 3) irrigation of the stomach |
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What is stomach decompression and how is it done?
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Removal of fluids and gas from stomach to relieve distention, decrease risk of aspiration, allow surgical anastomoses to heal w/o distention. It is done by inserting an NG tube and attaching it to low intermittent suction.
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What size (in French) are NG tubes?
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Usually 12 to 18 French.
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Two specific measures to verify placement of NG tubes:
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1) GI aspirate w/ pH of less than or equal to 5.0
2) abdominal radiograph |
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When is NG placement checked?
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1) immediately after insertion
2) when administering irrigations, medications, tube feedings |
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What must be checked prior to inserting an NG tube?
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The medical chart for a doctor's order!!!
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Name some complications of NG tubes...
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sinusitis, earaches, esophagitis, gastric or esophageal ulceration and bleeding, pulmonary aspiration
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When is an NG tube contraindicated?
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client w/ severe facial or head trauma; certain types of head and neck trauma
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Petroleum jelly may be used to lubricate the NG tube prior to insertion, T or F?
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FALSE...petroleum jelly is flammable and hazardous if swallowed/inhaled
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What position should the client be in prior to inserting a NG tube?
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High-Fowler's (90-degree angle)
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How much of the tube should be lubricated?
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3-4 inches (with water-soluble lubricant)
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Which position should the client move his neck when first inserting a NG tube?
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Hyperextension
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Once past the nasopharynx, what should the nurse do next?
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Gently rotate the tube toward the opposite nostril and pass the tube just above the oropharynx.
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Once past the oropharynx, what should the nurse do next?
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Stop, give client water w/ a straw, have him flex head forward, and swallow small sips of water. Advance tube w/ each swallow.
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Once inserted fully, what should the nurse do next?
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Have client speak, inspect posterior pharynx to check placement.
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How high should the HOB be elevated for the client w/ a NG tube?
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30 degrees or as directed by physician.
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Ill-fitting dentures should be removed prior to NG insertion, T or F?
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TRUE.
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