Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

Which action should be taken if a nasogastric tube is ineffective for an extended period?

1. Continue current treatment.

2. Replace with an oral feeding.

3. Assess for potential aspiration risk.

4. Notify the physician immediately.

The correct answer is: Assess for potential aspiration risk.

When a nasogastric tube is ineffective for an extended period, assessing for potential aspiration risk is a critical action to take. An ineffective nasogastric tube can lead to inadequate nutrition and the risk of aspiration, especially if the patient is still receiving oral secretions or if there is a chance of regurgitation. By identifying and assessing the aspiration risk, a healthcare professional can determine if the patient may require different interventions, such as alternative nutritional support methods or repositioning to reduce the risk of aspiration pneumonia. This proactive approach ensures that patient safety is prioritized and that appropriate measures are taken to address any potential complications that could arise from an ineffective feeding tube. While other actions may also be necessary depending on the situation, such as notifying a physician or examining the need for an oral feeding, evaluating aspiration risk directly addresses immediate concerns regarding the patient's safety and well-being.