A nurse is inserting a nasogastric (NG) tube for an adult client. During the procedure, the client begins to cough and have difficulty breathing. The priority action at this time is which of the following?
1. Quickly insert the NG tube.
2. Remove the tube, and notify the physician.
3. Remove the tube, and reinsert when the client fully recovers.
4. Pull back on the tube, and wait until the client is breathing easily.
4
Rationale: If the client experiences difficulty breathing or any respiratory distress during inser-tion of an NG tube, the nurse would pull back the tube and wait until the distress subsides. "Re-move the tube, and notify the physician" and "remove the tube, and reinsert when the client fully recovers" describe actions that are unnecessary. "Quickly insert the NG tube" is dangerous be-cause it is likely that the tube has entered the bronchus.
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