Certified Gastroenterology RN Exam Prep

Category - Reduction of Risk

A nurse is preparing to remove the nasogastric tube of Hannah, a 67-year-old client. The nurse should instruct the client to do which of the following just before removing the tube?
  1. Slowly breathe out
  2. Slowly breathe in
  3. Quickly breath in and then breathe out
  4. Hold her breath
Explanation
Answer: D - When removing the nasogastric tube the nurse should instruct the client to hold her breath to avoid unintentional aspiration of gastric contents in the tube. The maneuver should be quick but gentle to reduce discomfort and tissue trauma and to avoid drainage of gastric contents.
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