رُكّب لمريض أنبوب أنفي معدي رفيع للتغذية. ما أدق طريقة للتأكد من مكانه قبل أول وجبة؟

A client has a newly inserted fine-bore nasogastric feeding tube. What is the most accurate way to confirm its position before the first feed?

1. Hearing a whoosh over the stomach after injecting 10 mL of air
2. Measuring the external length and comparing it with the first mark
3. Placing the tube end in a cup of water and checking for no bubbles
4. An X-ray showing the tube tip in the stomach

Answer: D) An X-ray showing the tube tip in the stomach. X-ray is the gold standard before first use, especially for fine-bore tubes. Air can be heard even when the tube is in the lung, absence of bubbles proves nothing, and external length is for ongoing checks, not initial confirmation.