The nurse notes that the tube-fed client has shallow breathing and dusky color.The feeding is running at the prescribed rate.What should the nurse do first?

Question

Quizplus · Accepted Answer

Shallow breathing and dusky color in a tube-fed client may indicate aspiration, which is a serious complication. The first step is to turn off the tube feeding to prevent further aspiration. The nurse can then assess the client's breathing and lung sounds, as well as notify the healthcare provider and implement interventions as necessary, such as suctioning or supplemental oxygen. Placing the client in high Fowler's position or assessing bowel sounds may be appropriate later, but turning off the tube feeding is the priority to prevent further complications.

The Nurse Notes That the Tube-Fed Client Has Shallow Breathing