A Patient Is Admitted to the Emergency Department in Respiratory

A patient is admitted to the emergency department in respiratory distress.The respiratory care practitioner utilizes a full face mask to administer NPPV.After 20 minutes of NPPV the patient exhibits signs of gastric distention.The physician is concerned about the patient vomiting and aspirating.What should the practitioner recommend to decrease the gastric distention and decrease the possibility of aspiration?

A) The patient should be placed on his side to lessen the possibility of air swallowing.
B) The practitioner should place a little force on the mask harness to maintain a good seal.
C) Reduce the pressure on the face mask and allow the positive-pressure to seal the mask.
D) A nasogastric tube should be placed to decompress the stomach and reduce the risk of aspiration.