Which is a contraindication for a tube feeding?
1. Septicemia
2. Pancreatitis
3. Gastric ileus
4. Head trauma
3
3. Gastric ileus, or gastroparesis, is a contraindication to tube feedings because in-fusing formula into the stomach is likely to remain in the stomach and accumulate. This increases the risk of aspiration and endangers the client's airway. The duty the nurse owes the client is to withhold a tube feeding until bowel sounds are present.
1, 2, and 4. Sepsis, pancreatitis, and head trauma are indications for tube feedings as long as the client has peristaltic action.
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During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is Chadwick's sign?
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A. ¾-inch, 23-gauge, metal winged needle B. ¾-inch, 18-gauge, over-the-needle catheter C. 2-inch, 21-gauge, over-the-needle catheter D. 4-inch, 20-gauge, through-the-needle catheter
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