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NCLEX-PN

Category - Basic Care

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The nurse is inserting a nasogastric tube in an adult client. The nurse is having difficulty in inserting the tube. Which of the following actions should the nurse do first?

Remove the tube and reinsert in the opposite nostril
Notify the physician immediately and have the physician insert the tube
Coach the client to swallow while inserting the tube
Ask the client to extend their neck while the tube is being inserted

Explanation

Answer: C - Swallowing facilitates relaxation of the esophageal muscles and closing of the epiglottis. Options A and B are unnecessary. Option D is incorrect. The client should bend the head forward to close the epiglottis and open the esophagus.

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