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NCLEX-RN

Category - Physiological

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A client intubated after a vehicular accident was inserted with a nasogastric tube to prevent aspiration. Which findings require the immediate attention of the nurse?

Absence of gastric aspirate
Aspirate pH is four
The aspirate is green
Aspirate is off-white with mucus

Explanation

Answer: D - When the nurse obtains an off-white mucoid secretion, it could be a pleural fluid. The nasogastric tube should be removed and a new one reinserted. A green and acidic aspirate is considered gastric in nature. Respiratory fluids have a pH of seven or higher.

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