A nurse inserts a nasogastric (NG) tube for an adult client who has a bowel obstruction. Which actions does the nurse perform correctly? (Select all that apply.)
a. Performs hand hygiene and positions the client in high-Fowler's position, with pillows behind the head and shoulders
b. Instructs the client to extend the neck against the pillow once the NG tube has reached the oropharynx
c. Checks for correct placement by checking the pH of the fluid aspirated from the tube
d. Secures the NG tube by taping it to the client's nose and pinning the end to the pillowcase
e. Connects the NG tube to intermittent medium suction with an anti-reflux valve on the air vent
ANS: A, C, E
The client's head should be flexed forward once the NG tube has reached the oropharynx. The NG tube should be secured to the client's gown, not to the pillowcase, because it could become dislodged easily. All the other actions are appropriate.
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