The nurse is placing a NG tube in an older client with malnutrition. During placement, the client begins to cough. What should the nurse do?
1. Pause and then continue inserting the tube.
2. Ask the client to swallow during insertion.
3. Withdraw the tube.
4. Check for placement of the tube.
Answer: 3
1. If the client coughs, the tube is entering the trachea. The nurse should withdraw the tube.
2. The client is asked to swallow during insertion, but coughing means the tube is in the wrong place.
3. Coughing indicates that the tube is in the trachea, and the tube should be immediately withdrawn.
4. Tube placement is not checked, but removed.
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