After preparing to insert an NG tube, what is the next step?

The next step after preparing to insert a nasogastric (NG) tube is to measure the tube. This is crucial for ensuring that the tube is of appropriate length for proper placement. Measuring the NG tube involves determining the distance from the tip of the nose to the earlobe and then from the earlobe to the xiphoid process, usually using a measurement guide or the tube itself. This helps to ensure that the tip of the tube reaches the stomach without entering the lungs or becoming coiled in the esophagus.

While having the client flex forward can aid in the insertion process by helping to open the airway and prevent aspiration, this action should occur after confirming that the correct length has been measured. Obtaining an x-ray is typically done after insertion to confirm proper placement rather than before. Securing the tube is one of the final steps that occur after the insertion has been accomplished, further highlighting the importance of correctly measuring the tube length before any insertion takes place.