Nursing 4060 Med- Surg Final Exam Study Guide-very detailed 2026-2027 (30pages)

• NG tube – Placement and verification • Review the prescription & purpose of the procedure, understand the need for placement. Identify client, explain the procedure. • Review history of nasal problems, anticoagulants, previous trauma, & past history of aspiration. • Evaluate the clients ability to cooperate & make a hand signal w/ the client. • Perform hand hygiene, tape or use commercial fixation device to secure the dressing. • Use clean gloves, water soluble lube, topical anesthetic, cup of water & straw, catheter & syringe (30-60 mL), basin, pH strip (>4), clamp or plug to close the tubing after insertion. • Steps: ATI i. Auscultate bowel sounds, palpate abdomen for distention, pain & rigidity. ii. Raise head of bed (high fowlers if possible). iii. Assess nares, look for deviation/obstruction. iv. Measure tube from tip of the nose to the earlobe, down to the xiphoid process. v. Give client water & when they swallow continue to insert tubbing. 1. If client vomits clear the airway & provide comfort before continuing care. vi. Check for placement w/ pH strip (<4>