Identify the procedure done in the image:

Appeared in: AIIMS Delhi NO- 2019

Explanation

The image correctly depicts the insertion of a nasogastric (NG) tube.
The procedure involves passing a flexible tube through the patient's nostril, down the nasopharynx, and into the stomach.
This is a fundamental nursing skill used for providing enteral nutrition, administering medication, or decompressing the stomach.
The patient's upright position and the insertion route via the nose are characteristic of this procedure.

Option B: While the initial steps of inserting a nasojejunal (NJ) tube are similar to an NG tube, an NJ tube is advanced further, past the stomach, into the jejunum. The image only shows the initial insertion phase, for which 'Nasogastric insertion' is the most common and general term.
Option C: Endotracheal (ET) insertion, or intubation, involves placing a tube into the trachea (windpipe) to maintain an open airway and facilitate breathing. The procedure shown is clearly aimed at the gastrointestinal tract, not the respiratory tract.
Option D: This option is incorrect because the procedure shown is clearly identifiable as a common medical intervention.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of common nursing procedures as background academic context rather than a clinical decision trigger.
Confirming NG tube placement is a critical patient safety measure. The gold standard for initial confirmation is a chest X-ray.
Nurses must monitor for signs of incorrect placement, such as coughing, choking, or decreased oxygen saturation, which could indicate the tube has entered the trachea.
Regularly assessing the tube's position, providing nasal and oral care, and monitoring for complications like aspiration pneumonia are key nursing responsibilities.

How to Approach the Question

First, carefully observe the image to identify the key actions and anatomical landmarks. Note the insertion of a tube through the patient's nose.
Next, read all the options provided. Understand the definition of each procedure.
Eliminate options that are clearly incorrect. Endotracheal (ET) insertion involves the trachea (airway), which is different from the route shown (esophagus/stomach).
Differentiate between the remaining similar options. Both NG and NJ tubes are inserted through the nose. However, NG tube insertion is the more general and common procedure depicted in its initial stage.
Select the option that best describes the visible action. The image shows the fundamental steps of nasogastric insertion.

Concept Tested & Keywords

QSu2ulByXZiJzDA-lF4GT4

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 p. 90-92

E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 43-45

E6 Nursing Fundamentals Taylor p. 510-512

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Attempt every question from this paper in a timed mock, then review the full solution for each one.