The nurse prepares to insert a patient's nasogastric tube (NGT) for tube feedings. Which patient assessment requires the nurse to collaborate with the patient's healthcare provider before in-itiating the feeding?
a. An intact gag reflex
b. An occluded right naris
c. Impaired swallowing
d. Absent bowel sounds
D
The nurse collaborates with the provider before initiating tube feedings for a patient without bo-wel sounds because any formula infused is likely to accumulate in the stomach and greatly in-crease the patient's risk of aspiration. Even so, peristalsis is normally stimulated as food accu-mulates in the stomach, activates stretch receptors, and stimulates peristalsis in the small and large intestines. Indications for NGT feedings exist for patients with and without a gag reflex. The nurse attempts NGT insertion into the left nostril when the right nostril is occluded. Patients with impaired swallowing are suitable candidates for NGT feedings.
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