Hesi compass B exit proctored exam
The nurse caring for a client with dysphagia is attempting to insert a nasogastric tube (NGT), but the client will not swallow and is not gagging. Which action should the nurse implement to facilitate the NGT passage into the esophagus?
Explanation & Rationale
A. Hyperextending the head may close the esophagus and open the airway, increasing risk of misplacement into the trachea. B. Flexing the head with the chin to the chest helps align the esophagus for easier tube passage and reduces risk of airway insertion. C. Offering sips of water to facilitate swallowing is contraindicated in clients with dysphagia due to aspiration risk. D. Forcing the tube quickly can cause trauma or airway insertion; gentle, controlled insertion with proper positioning is safer.
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