The nurse inserts a NGT and assesses the client. Which client assessment data indicates a potentially serious problem to the nurse?
1. Restlessness
2. Cannot speak
3. Nasal pressure
4. Mouth breathing
2
2. If the client cannot speak after NGT insertion, the nurse avoids verifying the NGT placement because the tube is passing through the larynx. The nurse removes the tube quickly because this also means the tube in the trachea; it should be in the esophagus.
1. Client restlessness and fidgeting should diminish after NGT placement, especially if the tube helps to relieve nausea and abdominal distention. The nurse continues to monitor the client for compliance with therapy to ensure the tube remains in place.
3. The nurse expects the client to feel nasal pressure after NGT placement; however, the pressure should dissipate with time as the client adjusts to the NGT.
4. Clients often breathe through the mouth after NGT placement initially, until the client adjusts to the tube in nose.
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