Identify the following tube in the image:

AIIMS Delhi NO- 2019

Nursing Foundation

Easy

Appeared in: AIIMS Delhi NO- 2019

Explanation

The image shows a Nasogastric (NG) tube, which is a flexible tube passed through the nose into the stomach.
Key features visible are the proximal funnel-shaped connector (for attaching syringes or feeding sets) and the distal tip with multiple openings (eyes) to allow for feeding or aspiration.
NG tubes are used for short-term nutritional support, gastric decompression (removing stomach contents), or administering medications.
This type of tube is a common piece of medical equipment, and its visual identification is a basic nursing skill.

Option B: An orogastric tube is inserted through the mouth, not the nose. While it also ends in the stomach, 'nasogastric' specifies the nasal route of entry, which is the most common use for this type of flexible feeding tube in adults.
Option C: A nasojejunal (NJ) tube is inserted through the nose but terminates in the jejunum (a part of the small intestine), not the stomach. NJ tubes are longer than NG tubes and often require a guidewire (stylet) for placement.
Option D: A urinary tube, or catheter, is designed for insertion into the bladder via the urethra to drain urine. Its structure is different, typically featuring a balloon inflation port and a different type of connector.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of common medical equipment, specifically enteral feeding tubes as background academic context rather than a clinical decision trigger.
Confirming NG tube placement is a critical nursing responsibility to prevent life-threatening complications. The gold standard for initial confirmation is a chest X-ray. Subsequent checks before each use involve measuring the external tube length and testing the pH of aspirated fluid.
Patient safety is paramount. An incorrectly placed NG tube (e.g., in the airway) can lead to aspiration pneumonia if feeding is initiated.
Nurses must provide regular nasal and oral care to patients with NG tubes to prevent skin breakdown, discomfort, and infection.

How to Approach the Question

First, carefully examine the image provided. Note the key features of the medical device: its shape, material, connectors, and any markings.
The image shows a thin, flexible tube with a distinct funnel-like connector at one end. This is a common design for enteral tubes.
Next, analyze the options provided in the context of your visual analysis.
Option A, 'Nasogastric tube,' refers to a tube inserted via the nose into the stomach. The device in the image is consistent with this description.
Evaluate the other options. An 'Orogastric tube' uses a mouth entry. An 'NJ tube' goes to the intestine and is longer. A 'Urinary tube' has a completely different design for a different bodily system.
Conclude that based on the visual evidence, the device is a Nasogastric tube.

Concept Tested & Keywords

Concept Tested: Identification of common medical equipment, specifically enteral feeding tubes.
Stem keywords: Identify, tube, image
Lead-in keywords: Identify

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E6 Nursing Fundamentals Taylor p. 510-512

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 pp. 89-91, 90-92