For a patient with an NG tube, what head-of-bed elevation is recommended?

• A. Elevate head of bed to 0 degrees
• B. Elevate head of bed to 90 degrees
• C. No elevation
• D. Elevate head of bed to 30 degrees

Answer: (D)

Elevating the head of the bed with an NG tube helps protect the airway by reducing the chance that stomach contents will reflux and be aspirated into the lungs during feeding or drainage. A moderate elevation, around 30 degrees, provides a safe balance between airway protection and patient comfort, fitting well with routine care and allows for easier repositioning and activity. Keeping the bed flat increases the risk of reflux and aspiration, while a full 90-degree position is often impractical and can cause discomfort and issues with tube stability. So, about 30 degrees is the recommended angle.