As the nasogastric tube is passed into the oropharynx, the client begi

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.

ANSWER

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.