While inserting a nasogastric tube, the nurse should use which of the following protective measures?
A. Gloves, gown, goggles, and surgical cap
B. Sterile gloves, mask, plastic bags, and gown
C. Gloves, gown, mask, and goggles
D. Double gloves, goggles, mask, and surgical cap
Correct Answer: C. Gloves, gown, mask, and goggles
Gloves, gown, mask, and goggles should be used as a universal precaution on all patients to prevent skin and mucous membrane exposure when contact with blood or other body fluids is anticipated. The potential for contact with a patient’s blood/body fluids while starting an NG is present and increases with the inexperience of the operator. Gloves must be worn while starting an NG; and if the risk of vomiting is high, the operator should consider face and eye protection as well as a gown. Trauma protocol calls for all team members to wear gloves, face and eye protection, and gowns.
Option A: Surgical caps offer protection to hair but aren’t required. Surgical caps are a part of medical protective clothing and should prevent germs from the hair or scalp of surgical personnel from contaminating the operating area.
Option B: Plastic bags provide no direct protection and are not part of universal precautions. Personal protective equipment serves as a barrier to protect the skin, mucous membranes, airway, and clothing. It includes gowns, gloves, masks, and face shields or goggles.
Option D: It is also unnecessary to double gloves. Double gloving reduces the amount of contact with the patient’s blood and is also effective at reducing the level of exposure to infectious material during needle stick injury. Double gloving also reduces the risk of perforation compared to single gloving.
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