Asked by Miranda Josephson on May 22, 2024
Verified
The nurse is preparing to insert a nasogastric tube in a patient who is semiconscious. To determine the length of the tube needed to be inserted, how should the nurse measure the tube?
A) From the tip of the nose to the earlobe
B) From the tip of the earlobe to the xiphoid process
C) From the tip of the earlobe to the nose to the xiphoid process
D) From the tip of the nose to the earlobe to the xiphoid process
Nasogastric Tube
A medical tube that is inserted through the nose and down into the stomach for feeding or medication administration.
Xiphoid Process
The smallest and lowest part of the sternum (breastbone) that may be felt as a small lump at the lower end of the sternum.
- Initiate safeguarded feeding protocols for patients whose physical impairments interfere with ingestion.
Verified Answer
SL
Stephany LizarragaMay 27, 2024
Final Answer :
D
Explanation :
Measure distance from the tip of the nose to the earlobe to the xiphoid process of the sternum. This approximates the distance from the nose to the stomach in 98% of patients. For duodenal or jejunal placement, an additional 20 to 30 cm is required.
Learning Objectives
- Initiate safeguarded feeding protocols for patients whose physical impairments interfere with ingestion.
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