A client has a small-bore nasoenteric feeding tube.The nurse assesses the following vital signs: temperature,100.2° F (37.8° C); pulse,112 beats/min; respiratory rate,22 breaths/min; and blood pressure,106/62 mm Hg.Which action by the nurse takes priority?

Question

Quizplus · Accepted Answer

The client may have aspirated.The nurse should further assess the client's respiratory and oxygenation status.The client may have another reason for the abnormal vital signs,so the nurse should not pull out the tube before performing other assessments.Adding blue dye to the tube feeding formula is not recommended to check for aspiration.Slowing the feeding down will not be helpful.

A Client Has a Small-Bore Nasoenteric Feeding Tube