The nurse inserts an NGT and the client begins to cough and gag. Which should the nurse implement for the client's benefit?
1. Withdraw the tube slightly and ask the client to swallow.
2. Stop the procedure, anchor the tube, and request an x-ray.
3. Tell the client the gagging will pass and advance the tube.
4. Remove the tube and allow the client to regain composure.
1
1. Coughing and gagging during NGT insertion is expected, so the nurse is prepared to manage the client distress. The nurse withdraws the NGT slightly, provides water, and asks the client to sip water or swallow to facilitate passage of the NGT. This benefits the client by implementing the prescription.
2. The nurse avoids leaving the NGT in the area causing gagging and coughing be-cause the nurse wants to help the client avoid these as much as possible and complete the procedure.
3. To display caring and concern, the nurse avoids this comment and provides mea-ningful, facilitative instructions.
4. The nurse avoids removing the tube because then the client will have to feel the burning sensation of NGT passage through the nose.
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