Which action will the nurse take to reduce the risk of excoriation to the mucosal lining of the patient's nose from a nasogastric tube?
A) Instill Xylocaine into the nares once a shift.
B) Tape tube securely with light pressure on nare.
C) Lubricate the nares with water-soluble lubricant.
D) Apply a small ice bag to the nose for 5 minutes every 4 hours.

Question

Quizplus · Accepted Answer

The tube constantly irritates the nasal mucosa, increasing the risk of excoriation. Frequent lubrication with a water-soluble lubricant decreases the likelihood of excoriation and is less toxic than oil-based if aspirated. Xylocaine is used to treat sore throat, not nasal mucosal excoriation. While the tape should be secure, pressure will increase excoriation. Ice is not applied to the nose.

Which Action Will the Nurse Take to Reduce the Risk