Question

The nurse prepares to insert a nasogastric tube (NGT) as prescribed by a client's practitioner. In which order does the nurse perform the steps of this procedure? Place the options in the correct sequence. All options must be used.

1. Have the client bend chin toward the chest.

2. Examine both nares for obstructions.

3. Have the client sip water as the tube is advanced.

4. Position client with head tilted back.

5. Advance lubricated tube past the nasopharynx.

Answer 1

To correctly insert a nasogastric tube, the nurse should first examine the nares, position the patient's head back, advance the lubricated tube, have the patient tuck their chin, and sip water as the tube is advanced.

Step-by-step explanation:

The correct sequence for inserting a nasogastric tube (NGT) involves a series of steps that maintain patient comfort and ensure the tube is placed correctly. Here is the ordered sequence:

1. Examine both nares for obstructions.
2. Position client with head tilted back.
3. Advance lubricated tube past the nasopharynx.
4. Have the client bend chin toward the chest.
5. Have the client sip water as the tube is advanced.

This sequence is designed to facilitate the smooth insertion of the NGT through the nasal passage, past the nasopharynx, and into the stomach. Using this ordered approach helps minimize patient discomfort and potential complications such as aspiration or injury to the nasopharyngeal tissues.