An appropriate technique for the nurse to implement during nasogastric tube insertion is to:
A. Rotate the tube if resistance is felt
B. Advance the tube in between swallows
C. Start with the client's head flexed
D. Check the tube placement by instilling air and auscultating over the stomach
A
A. If resistance is met, try to rotate the tube and see if it advances. If still resistant, withdraw tube, allow client to rest, relubricate tube, and insert into other naris.
B. Advance tube 2.5 to 5 cm (1 to 2 inches) with each swallow of water. If client is not allowed fluids, instruct to dry swallow or suck air through straw. Advance tube with each swallow.
C. Initially instruct client to extend neck back against pillow; insert tube slowly through naris with curved end pointing downward.
D. Verify tube placement: Check agency policy for preferred methods for checking tube placement.
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