Which action should the nurse take if a gastrostomy feeding patient coughs during administration?

• A. Continue feeding
• B. Hold feeding and notify HCP
• C. Increase rate
• D. Administer water

Answer: (B)

Coughing during gastrostomy feeding signals a risk of aspiration and airway irritation, so the priority is to protect the airway by stopping the infusion and seeking guidance from the healthcare provider. Pausing the feeding prevents more formula from entering the airway, giving time to assess respiratory status and determine the next steps. Keeping the patient upright and monitoring for signs of distress while awaiting orders helps reduce further risk. Continuing the feeding or increasing the rate would only raise the chance of aspiration, and giving water at this moment could worsen choking or move fluid into the airway. Once you’ve paused, report the event and follow the clinician’s instructions before resuming any feeding.