Author Question: Before insertion of a nasogastric (NG) tube, of which finding should the physician be notified? ... (Read 21 times)

soccerdreamer_17 · **on:** Jul 24, 2018

Before insertion of a nasogastric (NG) tube, of which finding should the physician be notified?

a. Patent nares
b. Absent bowel sounds
c. Evident gag reflex
d. Impaired swallowing

Question 2

For the client who cannot sit upright, the next best position to prevent aspiration during medication administration is:

A. Prone
B. Supine
C. Side-lying
D. Dorsal recumbent

cdmart10 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
Absent bowel sounds may indicate decreased or absent peristalsis and increased risk for aspiration. A finding of patent nares rules out obstruction or irritated nares, septal defect, or facial fracture and does not need to be reported to the physician because it is a normal finding. The nurse should assess the patient for a gag reflex to determine the patient's ability to swallow and to discern whether a greater risk for aspiration exists. An evident gag reflex is a normal finding and does not need to be reported to the physician. Impaired swallowing is the probable reason for insertion of the NG tube.

Answer to Question 2

C
C. The side-lying position decreases the risk of aspiration.
A. Swallowing is difficult or impossible in the prone position.
B. There is an increased risk of aspiration when swallowing in the supine position.
D. There is an increased risk of aspiration when swallowing in the dorsal recumbent position.