A patient with an NG feeding tube has nasal mucosa inflammation at the insertion site; the other naris is patent. What is the best action?

• A. Continue feeding while monitoring.
• B. Replace the tube in the same naris after cleansing.
• C. Reassess and document symptoms.
• D. Notify the physician; obtain an order to remove the tube and insert a new tube in the opposite naris.

Answer: (D)

Inflamed nasal mucosa at the insertion site means the tissue is irritated and potentially injured or susceptible to infection. Replacing the tube through the same nostril would keep irritative forces on damaged tissue, increasing the risk of bleeding, further trauma, and misplacement. The safest course is to notify the physician and obtain an order to remove the tube and insert a new one through the opposite naris after appropriate cleansing. This allows the damaged side to heal and helps maintain tube patency and patient safety. After repositioning, verify placement and monitor for signs of trouble, then document the assessment and actions taken.