A nurse is caring for a patient with a nasogastric tube for feeding. During shift assessment, the nurse auscultates a new onset of bilateral lung crackles and notes a respiratory rate of 30 breaths per minute
The patient's oxygen saturation is 89% by pulse oximetry. After ensuring the patient's immediate safety, what is the nurse's most appropriate action?
A) Perform chest physiotherapy.
B) Reduce the height of the patient's bed and remove the NG tube.
C) Liaise with the dietitian to obtain a feeding solution with lower osmolarity.
D) Report possible signs of aspiration pneumonia to the primary care provider.
Ans: D
Feedback:
The patient should be assessed for further signs of aspiration pneumonia. It is unnecessary to remove the NG tube and chest physiotherapy is not indicated. A different feeding solution will not resolve this complication.
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