Gastrointestinal Question #6


The nurse is caring for a client with small bowel obstruction and is preparing to insert a Levine nasogastric tube for stomach decompression. Which intervention is most important during nasogastric insertion?


  1. Feedings will begin only after residual is checked.
    • Rationale:
  2. The client should be placed in high Fowler’s position.
    • Rationale:
  3. The client should hold the tube in place with one hand while nurse is securing.
    • Rationale:
  4. Measurements of the tube are from top of the stomach, around back of ear, ending at the nose tip.
    • Rationale:



The Client should be placed in a high Fowler’s position. Residual is not checked since this is a Levine tube for decompression, nor should they have the responsibility of holding the tube. The tube is not measured from the top of the stomach ending at the nose.

Learning Outcomes

Test Taking Tip

Video Rationale