ATI Chapter 54: Nasogastric Intubation and Enteral Nutrition Management Covering NG Tube Definition Insertion Techniques Nasopharynx Anatomy Gastric Decompression Feeding and Lavage Procedures Sengstaken Blakemore Tube Compression Therapy Patient History

ATI Chapter 54: Nasogastric Intubation and Enteral Nutrition Management Covering NG Tube Definition Insertion Techniques Nasopharynx Anatomy Gastric Decompression Feeding and Lavage Procedures Sengstaken Blakemore Tube Compression Therapy Patient History Considerations Pre Procedure Preparation Intra Procedure Assessment Post Procedure Care Tube Removal Protocols Complications Management Naris Excoriation Discomfort and Occlusion Prevention Enteral Formula Types Polymeric Modular Elemental and Specialty Indications Neurological Cancer Gastrointestinal and Critical Illness Feeding Methods Intermittent Continuous and Bolus Administration Residual Volume Monitoring Aspiration Management Diarrhea and Nausea Interventions Tube Patency Maintenance Clinical Decision Making and Evidence Based Practice Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 Nasogastric Intubation (NG Tube) def an NG tube is a hollow flexible, cylindrical device the nurse inserts through the nasopharynx into the stomach Enteral feeding tube Sengstaken-Blakemore tube decompression removal of gases or stomach contents to relieve distention, nausea, or vomiting; salem sump; miller abbot; levin feeding alternative to oral route for administering nutritional supplements; duo; levin; dobhoff lavage washing out the stomach to treat active bleeding, ingestion of poison, or for gastric dilation; ewald; levin; salem sump compression using an internal balloon to apply pressure for preventing hemorrhage; sengstaken-blakemore Hx considerations nasal problems; anticoagulant use; previous trauma; aspiration steps before placement review procedure/purpose/plan; Id client; explain; review hx; evaluate ability to cooperate; means of communication; hand hygiene; setp up; disposable towel and basin; provide privacy steps during procedure auscultate for bowel sounds; palpate for distention, pain, rigidity; raise bed; high fowlers; choose nare; clean gloves; clear airway if vomiting; check placement; aspirate to test pH; assess odor, color, consistency; secure tube on nose; confirm placement with xray; if not in stomach advance 5 cm and repeat; clamp tube or connect to suction device steps after procedure can delegate measure output, providing comfort, giving oral care removal of tube wear clean gloves; inform patient of process; measure and record any drainage, assessing for color, consistency, and odor; ensure comfort; document removal and condition of tube; abdominal assessment including inspection, auscultation, percussion, and palpation, last and next bowel movement and urine output complications of nares and stomach water soluble lubricant to nares; assess color of drainage; report dark, coffee ground or blood streaked drainage immediately; consider switching the tube to other nares complications with discomfort rinse mouth with water for dryness; throat lozenges; oral hygiene frequently occlusion of NG tube leading to distention; irrigate the tube per facility to unclog blockages; use tap water with enteral feedings; have client change position in case of the tip of tube against stomach wall; verify suction equipment functions properly 3 complications