Nasogastric Tube Insertion and Feeding

A nurse is checking the nasogastric tube position of a patient by aspirating the stomach contents to check for the pH level. The nurse proves that correct tube placement if the pH level is?

• 7.75

• 7.5

• 6.5

• 5.5

Which statement is NOT true regarding Cylic feedings?

• It is given at the same time each day for the same amount of time

• Referred as daytime feeding

• Feeding time 8-12 hours during night time.

• To help patient adjusting to an oral diet.

After inserting the nasogastric tube, nurse need to listen for the ___________ sound by using a stethoscope to ensure the tube is inserted into the stomach.

• Bubbling sound

• Rumbling sound

• No sound

• Whooshing sound

What is the common size of nasogastric tube for adult?

• 5 - 10 Fr

• 12 - 18 Fr

• 20 - 24 Fr

• 25- 28 Fr

Nurses need to observed for this sign and symptoms during giving nasogastric tube feeding such as...

• Cyanosis, Fatigue, Bloating

• Hyperglyceamia, Shivering, Choking

• Nausea, Hypoxia, Vomiting

• Cyanosis, Coughing,Vomiting

A stroke patient with nasogastric tube require feeding 200mls of Ensure Gold, 4 hourly as ordered by doctor. Before administer the feeding, nurse aspirate 115mls of residual content. What is the first nursing action should be taken?

• Hold the feeding and inform doctor immediately.

• Give half of the amount of formula ordered by doctor.

• Continue feeding as ordered by doctor.

• Hold the feeding and only flushing with clear fluid.

Which type of feeding is suitable to be given for malnourished infants or children?

• Cyclic feeding

• Continuous feeding

• Bolus feeding

• Intermittent feeding

State the definition of nasogastric tube feeding.

• Used to put substances and nutrients directly into the stomach and still able to take food orally.

• The delivery of nutrients from the nasal route into the stomach via nasogastric tube.

• Insertion of a flexible tube into the stomach that is inserted through the nose.

• Insertion of a plastic tube through the nose, past the throat, and down into the stomach to aspirate stomach content only.

Insertion of nasogastric tube is a sterile procedure.

• TRUE

• FALSE

How to determine the location of epigastric region?

• From xiphoid sternum, extend 5cm to the left

• From xiphoid sternum, extend 5cm to the right

• From the left xiphoid sternum, extend 5cm to the right

• From xiphoid sternum, extend 3cm to the left