A patient with an NG feeding tube inserted one week ago develops inflammation of the nasal mucosa and pain at the insertion site. The other naris is patent. What is the best action now?

• A. Continue feeding as planned.
• B. Remove the feeding tube immediately without a physician's order.
• C. Call the physician; get an order to remove the feeding tube and insert a new feeding tube in the opposite naris.
• D. Switch to oral feeding.

Answer: (C)

When nasal mucosa is inflamed and there is pain at the insertion site, the priority is to protect the nasal tissues and prevent further injury while continuing safe feeding. These signs suggest the current insertion site is irritated and could lead to more damage or infection if the tube remains in place. The correct course is to involve the physician to obtain an order to remove the tube and reinsert it through the opposite naris. This avoids worsening tissue trauma and allows reassessment of placement and feeding plan. After obtaining the order, ensure proper technique and placement verification for the new insertion, and provide nasal care to soothe the irritated area. Switching to oral feeding isn’t appropriate while tube support is needed, and removing the tube or continuing with the same side without formal authorization could pose safety and liability concerns.