Author Question: As the nasogastric tube is passed into the oropharynx, the client begins to gag and cough. What is ... (Read 42 times)

tichca · **on:** Jul 23, 2018

As the nasogastric tube is passed into the oropharynx, the client begins to gag and cough. What is the correct nursing action?

1. Remove the tube and attempt reinsertion.
2. Give the client a few sips of water.
3. Use firm pressure to pass the tube through the glottis.
4. Have the client tilt the head back to open the passage.

Question 2

The nurse is preparing to insert a nasogastric tube into a client. In what order will the nurse conduct the following steps?

1. Ask the client to tilt the head forward.
2. Insert the tube with its natural curve toward the client.
3. Ask the client to hyperextend the neck.
4. Have the client swallow a small amount of liquid.
5. Employ a slight twisting motion on the tube.

Laurenleakan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: This is a common response to the presence of a tube in the oropharynx, so removal of the tube is not necessary.
Rationale 2: Swallowing ice or water may help calm the gag reflex and also facilitate the swallowing of the tube.
Rationale 3: The nurse should not use pressure to pass the tube.
Rationale 4: The client's head should be tilted forward at this point. Tilting the head back will open the airway, not the esophagus.

Answer to Question 2

Correct Answer: 2, 3, 5, 1, 4
Rationale 1: At this time, have the client tilt the head forward to facilitate passage of the tube into the posterior pharynx and esophagus.
Rationale 2: The tube should first be inserted with its natural curve toward the client.
Rationale 3: At this time, having the client hyperextend the neck will reduce the curvature of the nasopharyngeal junction.
Rationale 4: The client should then be asked to swallow to move the epiglottis over the opening of the larynx, directing the tube toward the esophagus.
Rationale 5: A slight twisting motion may help pass the tube into the nasopharynx.