The nurse is right handed and needs to remove the male client's NGT. Which does the nurse implement during NGT removal to maintain client safety?
1. Leave on the low suction.
2. Clamp, then pull out tube.
3. Stand on client's left side.
4. Ask client to inhale deeply.
2
2 and 4. The nurse clamps the NGT and then pulls it out smoothly and steadily. The nurse clamps the tube to prevent aspiration of NGT drainage; in addition, the nurse helps to prevent aspiration by instructing the client to hold his breath during removal. Deep inhalation can increase the risk for aspiration if it is ill timed.
1. The nurse turns off the suction during the procedure to avoid tissue trauma and to avoid decreasing the client's oxygenation.
3. The right-handed nurse stands on the client's right side to remove the NGT; how-ever, this is not a safety maneuver but is for the nurse's convenience.
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