NG Tube

Question 1

What position should the client be in during NG tube placement?

Answer 1

High Fowler’s with head tilted forward

Question 2

The NG tube goes from ___ to ___

Answer 2

Nose to Stomach

Question 3

What is a Salem sump?

Answer 3

Double lumen of NG tube used to decompress the stomach

Question 4

What is the measuring points for determining length of insertion?

Answer 4

Nose to earlobe to xiphoid process

Question 5

If the client starts to gag during placement should you continue the procedure?

Answer 5

Yes, wait until patient stops gagging/coughing, then continue to advance; offer water to help the tube go down.

Question 6

What should be done before using the NG tube for the first time?

Answer 6

X-ray, aspirate for gastric content (pH should be > 4)

Question 7

If the NG tube is to suction, should you turn off the suction when medications are given PO?

Answer 7

Yes, for at least 30 minutes

Question 8

If a patient vomits during the procedures should you keep going with the NG tube?

Answer 8

Yes, wait for a few minutes, then proceed. Let the patient know that they will feel better once the NG is in place.