What is the best method to verify the placement of a nasogastric tube before each use?
a. Radiologic confirmation
b. Auscultation of injected air
c. Aspiration of stomach contents
d. Verification of tape placement on tube
ANS: C
Visual inspection and pH check of stomach contents is a reliable method of determining placement before each use. Radiologic examination should be obtained after initial placement but would be too cumbersome to do before each use. Auscultation is an unreliable method to confirm tube placement because of the similarity of sounds produced by air in the bronchus, esophagus, or pleural space. Verification of tape placement on the tube can be inaccurate if the tube has moved within the tape or become dislodged from the stomach.
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