Evidence Based Practice NG/OG Placement - Quick Quiz

What is the gold standard for initial verification of NG/OG tube placement?

• Air bolus auscultation

• Visual inspection of aspirate

• Radiographic (X-ray) confirmation

• Checking pH with litmus paper

After X-ray confirmation, what should be done to the tube to help with ongoing placement verification?

• Nothing; only initial confirmation is needed

• Label the type of tube used

• Mark the exit site at the nares with waterproof tape

• Instill air and listen for bubbling

How often should nurses check tube location according to best practice?

• Every 12 hours

• Only before medication administration

• Every 4 hours

• Once per shift

Which of the following is not an evidence-based method for verifying tube placement?

• Checking the tube marking at the nares

• Observing for signs of migration (e.g., coughing, vomiting)

• Air bolus auscultation

• Requesting a repeat X-ray if displacement is suspected

Why is air bolus auscultation no longer recommended?

• It is difficult to teach

• It requires special equipment

• It is not reliable or evidence-based

• It delays feeding initiation

What key signs may indicate tube dislodgement? Select all that apply!

• Epigastric pain

• Coughing

• Vomiting

• Skin rash