I care for a impaired child with a g-tube and recently he has been having increase secretions, gas and occasional emesis during and after feeding. During assessment, his lung sounds are clear, but the rattling sound, sounding almost like rhonchi, is coming from his throat. How would you document the lungs are CTA, moist secretions heard from throat? To me that's too unprofessional and I would like to document secretions heard from larynx/pharynx area vs. throat. How would you document this is you were the nurse?
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I care for a impaired child with a g-tube and recently he has been having increase secretions, gas and occasional emesis during and after feeding. During assessment, his lung sounds are clear, but the rattling sound, sounding almost like rhonchi, is coming from his throat. How would you document the lungs are CTA, moist secretions heard from throat? To me that's too unprofessional and I would like to document secretions heard from larynx/pharynx area vs. throat. How would you document this is you were the nurse?