Which does the nurse implement for routine care of the client with a nasogastric tube?

1. Alternate NGT placement between the nares daily.
2. Provide client oral care daily and lubricant to lips.
3. Keep the head of the bed flat with the tube in place.
4. Prevent pressure point formation on the nasal tissue.


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4 and 3. The nurse secures the NGT in place by suspending it in the nares so pressure points do not develop. In addition, the nurse positions the head of the bed at 30 de-grees or more to minimize tube irritation to the posterior pharynx and secures the tube to the client's gown to reduce friction and retrograde movement of the tube though the nasal passages.
1. The nurse avoids alternating NGT placement daily because the risk outweighs the benefit. The nurse changes tube placement if it is indicated.
2. The nurse provides oral care every 2-3 hours to maintain moist, intact oral mucosa and help to prevent client infection.

Nursing

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