Which should the nurse use to measure the length of a NGT before gastric intubation?
1. Measure and mark a point 30 inches from the end.
2. Measure from the nose to the middle of the sternum.
3. Measure from the nose to the ear to the client's navel.
4. Measure from the nose to the ear to the xiphoid process.
4
4. The nurse measures the client using the traditional method of measuring from the client's nose to the ear to the xiphoid process at the bottom of the sternum.
1. A standard 30-inch length for the NGT will fit some clients and not fit others, so this method cannot suitably measure clients for an NGT.
2. Measuring to the middle of the sternum will result in a short tube, especially since the ear is not involved in the measurement.
3. Measuring to the umbilicus will result in a long tube.
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