Chapter 5

Case Study #1

1. For client education regarding the NG tube, you can explain the purpose of the tube, which is to provide nutrition to the client when they are unable to eat or drink by mouth. You can also explain how the tube will be inserted, the type of food that will be provided through the tube, and any possible side effects or discomfort that may occur during the procedure.
2. Maintenance care priorities for the NG tube include checking the tube’s placement, making sure the tube is secure and not kinked, monitoring the client’s vital signs, and checking the amount and appearance of drainage from the tube.
3. Specific concerns related to Caroline’s need for an NG tube that should be monitored include infection, tube dislodgement, and blockage. You should also consider the client’s age, health status, and any prior experience with NG tubes when preparing for placement.
4. The purpose of the NG tube is to provide nutrition and hydration to the client.
5. An NG tube should be assessed regularly, at least once every shift; prior to any instillation of medication, fluids, or substances into the tube; or as needed based on the client’s condition.
6. Cues that indicate a further assessment of the NG tube and the client include changes in the client’s vital signs, discomfort or pain, and changes in the amount or appearance of drainage from the tube.
7. The technique used to insert the NG tube is typically the nasal method, which involves passing the tube through the client’s nose and down into the stomach.

All of the answers to the interactive element are found within the element.