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Nasogastric Tube
1. Explain the purpose for and how to obtain an NEX (nose, earlobe, xyphoid) measurement.
2. Relate the rationale for instructing the client to touch chin to chest when the tube reaches the pharynx during insertion.
3. Describe what the nurse should do if gagging and coughing persist while inserting the tube.
4. Tell why the nurse should not use force if resistance is met while inserting tube.
5. Discuss the rationale for discontinuing the procedure and removing the tube when there are signs of distress such as gasping, coughing, cyanosis, and inability to speak or hum.
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