Hard

A nurse is preparing to give the first feed through a newly inserted nasogastric tube. Which action is safest?

Correct answer: C. Confirm initial placement by prescribed radiography

  • A. Confirm tube position by abdominal auscultation
  • B. Begin feeding after checking the tube marking
  • C. Confirm initial placement by prescribed radiography
  • D. Flush the tube with water and start the feed

Explanation

Initial nasogastric tube placement should be confirmed by radiography before feeding. Listening for an air sound or relying only on the external marking can fail to detect bronchial placement and may cause aspiration.

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About Nutrition, Fluids and Electrolytes

Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.

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