The nurse is preparing to insert a nasogastric (NG) tube in her patient. Which of the following steps in the process indicates a need for further education?
a. The nurse lubricates 4 inches of the tube prior to insertion.
b. The nurse marks the length of the tube with a marker for insertion.
c. The nurse measures the length of tube needed using the nose-earlobe-xiphoid process.
d. The nurse applies clean gloves for the procedure.
ANS: B
Document the length of the tube to be used if the tube has a preprinted measurement scale. For any tube (with or without a preprinted scale), mark the measurement on the tube using a small piece of tape to ensure proper placement of the tube; fold the ends of the tape for easy removal. Do not use a permanent marker to mark the tube; it can cause confusion if the mark is not exact once the radiology confirms placement. Lubricate 4 inches of the tube tip with a water-soluble lubricant. For an NG tube, measure the length of tube needed for the patient by placing the tip of the tube at the tip of the patient's nose and extending it to the patient's earlobe and then to the patient's xiphoid process. Clean gloves are used.
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