A patient being prepared for an endoscopy to diagnose an upper gastrointestinal bleed asks why a nasogastric tube has to be inserted. What would the nurse respond to this patient?
1. "You need this to assist with placement of the ostomy tube."
2. "The nasogastric tube will assist in the removal of blood clots that may limit the physician in seeing your esophagus."
3. "Your physician has left orders for placement of the tube."
4. "The tube will reduce the likelihood of you vomiting during the procedure."
2
Rationale 1: The nasogastric tube is not used to assist with placement of the ostomy tube.
Rationale 2: The nasogastric tube may be utilized to reduce blood and aid removal of clots that might hinder observation by the physician during the test.
Rationale 3: This response does not meet the patient's request for information.
Rationale 4: Vomiting is not managed by a nasogastric tube during this procedure. A local anesthetic spray is applied to the back of the throat before the procedure to reduce gagging and vomiting.
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