The primary nursing concern for a patient with a nasogastric (NG) tube is ensuring proper placement and preventing complications such as aspiration, tube dislodgement, or mucosal damage. Nursing interventions include: verifying initial placement by X-ray (gold standard) and thereafter checking before each use by measuring tube length and testing pH of aspirate; securing the tube properly to prevent migration; providing nasal and oral care to prevent irritation; monitoring for signs of displacement (coughing, choking, decreased drainage); and ensuring the tube is functioning (irrigating with saline if clogged, maintaining suction if ordered). For feeding tubes, nurses also assess for residual volumes and elevate the head of bed during feeding. Documentation includes tube placement checks, drainage characteristics, and patient tolerance. Patient education covers tube care and signs of complications. Proper management reduces risks of pneumonia, electrolyte imbalances, and discomfort.

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Zambia

• Naomi Miselo – 31 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies