The nurse is caring for a client with a nasogastric tube inserted in the right nare. Which of the following protocols should the nurse anticipate when managing a client with a nasogastric tube (NGT)
Location: Emergency Department
Time: 04:00
Situation:
Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.
Background:
He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.
Assessment:
Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.
Recommendation:
You will need to check the provider's orders just written and see if the lab results are back.
The nurse is caring for a client with a nasogastric tube inserted in the right nare. Which of the following protocols should the nurse anticipate when managing a client with a nasogastric tube (NGT)? (Select all that apply.)
Top of Form
Radiographic confirmation of correct placement of NGT.
NGT is secured to the right nare with hypoallergenic tape.
Accurate record of the drainage removed from NGT.
Safe administration of enteric-coated tablets via NGT.
Sublingual medications may be administered as prescribed.
Oral and nasal hygiene are provided once daily.
Maintain head of bed at 15 degrees with NGT feedings.
Time-released capsules can be administered via NGT.
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