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NCLEX-RN

Category - Reduction of Risk

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A nurse is assessing the placement of the client’s nasogastric tube after its insertion. The nurse does not include which of the following actions during assessment of the tube placement?

Dip the tip of the NGT tube into tap water.
Instill 100 ml of water into the tube.
Introduce 20 ml of air into the tube.
Aspirate stomach contents.

Explanation

Answer - B - If the nasogastric tube is located in the lungs, instilling 100 ml of water would flood the airway, which can result in aspiration and pneumonia. The other options are appropriate.

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