What should the nurse instruct a client to do when removing a nasogastric tube?

Instructing the client to take a deep breath and hold it while the nasogastric tube is being removed is important for minimizing discomfort and reducing the risk of aspiration. When a client takes a deep breath and holds it, the diaphragm moves downward, which may help to close off the airway at the vocal cords and can reduce the likelihood of any secretions or gastric contents being aspirated back into the lungs during the removal process.

This technique is particularly relevant when dealing with nasogastric tubes because the procedure involves manipulation of the upper gastrointestinal tract, and patients may have residual contents that could pose a risk if aspirated. It also provides a moment of focus for the client, which may ease anxiety.

The other actions, such as deflating the balloon or irrigating the tube, are typically not part of the procedure for simple nasogastric tube removal unless specified otherwise in certain contexts. Additionally, assessing the gag reflex is generally a procedure more relevant to determining readiness for oral intake rather than a direct action during the tube removal process.