The nurse is preparing to insert a nasogastric tube into a client. In

The nurse is preparing to insert a nasogastric tube into a client. In what order will the nurse conduct the following steps?

1. Ask the client to tilt the head forward.
2. Insert the tube with its natural curve toward the client.
3. Ask the client to hyperextend the neck.
4. Have the client swallow a small amount of liquid.
5. Employ a slight twisting motion on the tube.

ANSWER

Correct Answer: 2, 3, 5, 1, 4
Rationale 1: At this time, have the client tilt the head forward to facilitate passage of the tube into the posterior pharynx and esophagus.
Rationale 2: The tube should first be inserted with its natural curve toward the client.
Rationale 3: At this time, having the client hyperextend the neck will reduce the curvature of the nasopharyngeal junction.
Rationale 4: The client should then be asked to swallow to move the epiglottis over the opening of the larynx, directing the tube toward the esophagus.
Rationale 5: A slight twisting motion may help pass the tube into the nasopharynx.