An 84-year-old woman is admitted from a long-term care home with fever and increased work of breathing. This is her third aspiration pneumonia in 4 months. She has advanced Alzheimer dementia, is non-verbal and bed-bound, and has lost 8 kg over the past year with coughing during most meals. A chest x-ray shows a new right lower lobe infiltrate and she is started on antibiotics. Her daughter, who is her legally appointed power of attorney for personal care, asks for a feeding tube because "she is starving." Her only other history is hypertension and no medication allergies.
| Heart rate | 104/min |
| Respiratory rate | 26/min |
| Temperature | 38.4 °C |
| O2 saturation | 88%, room air |
| Blood pressure | 104/62 mm Hg |
Question 1 of 9
Which of the following are the most appropriate next steps in responding to the daughter's request?
Select 2. (0 / 2 selected)
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