Question

A client is admitted to the surgical unit with symptoms of a possible intestinal obstruction. When preparing to insert a nasogastric (NG) tube, which intervention should the nurse implement?

Answer 1

To insert a nasogastric (NG) tube for a client with symptoms of a possible intestinal obstruction, the nurse should explain the purpose and procedure to the client, position the client in a semi-Fowler's position, lubricate the tip of the NG tube, gently insert the NG tube, confirm correct placement, and secure the tube with adhesive tape.

Step-by-step explanation:

When preparing to insert a nasogastric (NG) tube for a client with symptoms of a possible intestinal obstruction, the nurse should implement the following intervention:

1. Explain the purpose and procedure to the client to ensure their understanding and cooperation.
2. Position the client in a semi-Fowler's position to facilitate tube insertion.
3. Lubricate the tip of the NG tube to ease insertion and minimize discomfort.
4. Gently insert the NG tube through the nostril and advance it toward the stomach.
5. Confirm correct placement by auscultating for air sounds in the epigastric area and confirming pH level of aspirated contents (acidic pH indicates proper placement in the stomach).
6. Secure the tube with adhesive tape.