Which healthcare professional is authorized to replace a nasogastric tube (NGT)?

• A. Physician
• B. Physician Assistant
• C. Appropriately trained nurse
• D. Medical resident

Answer: (C)

The main concept here is who is authorized to manage routine maintenance of enteral access within a healthcare setting. Replacing a nasogastric tube is considered a task within the scope of practice for an appropriately trained nurse, provided there are established protocols and the clinician follows safety steps. A nurse with proper training can replace a dislodged or dysfunctional NGT so the patient maintains access for feedings or medications, which helps ensure timely care. After any replacement, placement must be confirmed before use, typically with methods such as pH testing of aspirate or radiographic confirmation, to prevent misplacement and potential harm. While physicians, physician assistants, and residents can perform NGT placement in more complex situations or when required, routine replacement aligns with nursing responsibilities and institutional protocols, making the appropriately trained nurse the best answer.