A nurse is inserting a nasogastric tube, During the procedure, the client begins to cough and has difficulty breathing.. Pull back on the tube and wait until the respiratory distress subsides

A nurse is inserting a nasogastric tube in an adult male client. During the procedure, the client begins to cough and has difficulty breathing. Which of the following is the appropriate nursing action?

a- Quickly insert the tube

b- Notify the physician immediately

c- Remove the tube and reinsert when the respiratory distress subsides

d- Pull back on the tube and wait until the respiratory distress subsides

Answer D.
During the insertion of a nasogastric tube, if the client experiences difficulty breathing or any respiratory distress, withdraw the tube slightly, stop the tube advancement, and wait until the distress subsides.
Options B and C are unnecessary.
Quickly inserting the tube is not an appropriate action because, in this situation, it may be likely that the tube has entered the bronchus.
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