A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric…

The correct answer is B. Swallow as tube passes. (A) Head should be tilted slightly forward to facilitate insertion. (B) Swallowing assists with insertion of tube and closes off airway. (C) Client should be swallowing as tube passes; holding the breath facilitates nothing. (D) Coughing may expel tube.

Physiological Integrity: Basic Care and Comfort

Question

A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:

Options

ATilt her head backwards
BSwallow as tube passes
CHold breath as tube passes
DCough as tube passes

How the community answered

(60 responses)

A
2% (1)
B
92% (55)
C
5% (3)
D
2% (1)

Explanation

(A) Head should be tilted slightly forward to facilitate insertion. (B) Swallowing assists with insertion of tube and closes off airway. (C) Client should be swallowing as tube passes; holding the breath facilitates nothing. (D) Coughing may expel tube.

Topics

#nasogastric tube insertion#enteral feeding#swallowing technique#tube placement

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