A Physician Orders Nasotracheal Suctioning to Be Done as Needed

Multiple Choice

A physician orders nasotracheal suctioning to be done as needed on a 72 year-old patient with pneumonia.Which of the following would indicate that the patient may have problems clearing secretions from the large/central airways?
I.Decreased tactile fremitus
II.Increased tactile fremitus
III.Clear chest radiograph
IV.Diminished breath sounds

A) I and III
B) II and IV
C) I only
D) II, III, and IV