What action should a nurse take when discontinuing a nasogastric tube?

When discontinuing a nasogastric tube, the appropriate action involves asking the client to hold their breath during the removal of the tube. This maneuver helps to close the airway, thereby reducing the risk of aspiration. Holding breath can also minimize discomfort as the tube is withdrawn. It is crucial for safety and comfort during this procedure.

While the other options may relate to care related to nasogastric tube management, they do not directly address the best practice for tube removal. Instructing the client to take shallow breaths could inadvertently lead to discomfort or complications if any secretions were to enter the airway. Flushing the tube with saline before removal is not necessary and could introduce fluids at an inappropriate time. Placing the client in a supine position is not recommended as it could also increase the risk of aspiration instead of mitigating it, especially during the removal process. Thus, asking the client to hold their breath is the optimal choice in ensuring safe and comfortable removal of the nasogastric tube.