A child receiving a milk feed through a nasogastric tube begins coughing repeatedly and develops a wet voice. What is the nurse's priority action?
Correct answer: B. Stop the feed and assess the child's airway and breathing
- A. Increase the feeding rate to finish quickly
- B. Stop the feed and assess the child's airway and breathing
- C. Place the child flat and continue observing
- D. Offer oral water to clear the throat
Explanation
Coughing and a wet voice during tube feeding may indicate aspiration, so the feed must be stopped and airway and breathing assessed first. Continuing the feed or giving oral water can worsen aspiration.
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About Care of the Hospitalised Child
Care of the hospitalised child covers admission assessment, monitoring vital signs, medication safety, pain relief, nutrition, hygiene, infection prevention and safe discharge planning. It also addresses atraumatic care, therapeutic play, communication with children and parents, family participation, separation anxiety, safeguarding and the child’s rights during hospital care.
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