Which safety measure is essential when managing a patient with an NG tube?

• A. Keep patient flat
• B. Elevate the head of the bed
• C. Use a small-bore tube only
• D. Avoid suction unless necessary

Answer: (B)

Positioning to protect the airway is key when an NG tube is in place. Elevating the head of the bed to about 30 to 45 degrees helps prevent gastric contents from refluxing into the esophagus and being aspirated into the lungs, which is especially important during tube insertion, feeding, suctioning, or if the patient vomits. A flat position increases the risk of aspiration and makes management more hazardous. The other options don’t provide the same safety protection—tube size doesn’t by itself prevent complications, and suction should be used as ordered rather than avoided entirely. Elevating the head of the bed is the safest, most effective measure to reduce aspiration risk.