The nurse has received an order from the health care provider to discontinue the nasogastric tube. Which of the following actions by the nurse indicates a need for further education?
a. The nurse clears the tube with air prior to discontinuing.
b. The nurse stops the tube feeding.
c. The nurse instructs the patient to cough while pulling out the tube.
d. The nurse clamps the tube while pulling it out.
ANS: C
To remove the tube, instruct the patient to take a deep breath and hold it; pinch the tube, and pull it out smoothly and quickly. The nurse should stop any feedings, and suction and flush the tube with water and/or air as appropriate. The nurse should not ask the patient to cough while pulling out the tube. Coughing during tube insertion may indicate the tube is entering the patients lungs.
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