Practice Quiz

NCLEX-RN

Category - Reduction of Risk

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A client begins to cough and starts to have difficulty in breathing as the nurse inserts a nasogastric tube. The nurse’s best action is to do which of the following?
  1. Insert the tube rapidly.
  2. Remove the tube and replace it with another tube that is one size smaller.
  3. Ask the client to take a sip of water and advance the tube as he swallows.
  4. Retract the tube slightly and stop tube advancement until respiratory distress subsides.
Explanation
Answer - D - If the client experiences respiratory distress during tube insertion, it is best to retract the tube slightly and wait until respiratory distress subsides. It is possible that the tube entered the main airway. The tube must not be forcefully inserted.
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