The nurse is caring for a client who has no cough or gag reflex and is unable to take nutrients orally. Which device would be an appropriate choice for providing nutrition to this client?

1. A nasogastric tube
2. An orogastric tube
3. A nasoenteric tube
4. A jejunostomy tube


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Rationale 1: The client with an absent cough and gag reflex should not have a nasal tube placed, because of the risk of aspiration.
Rationale 2: The client with an absent cough and gag reflex should not have an oral tube placed, because of the risk of aspiration.
Rationale 3: The client with an absent cough and gag reflex should not have a nasal tube placed, because of the risk of aspiration.
Rationale 4: A jejunostomy tube would be a safe choice, because of the reduced risk of reflux into the esophagus.
Global Rationale: The client with an absent cough and gag reflex should not have an oral or nasal tube placed, because of the risk of aspiration. However, a jejunostomy tube would be a safe choice, because of the reduced risk of reflux into the esophagus.

Nursing

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After being diagnosed with cataracts, a client believes the right eye has a cataract but not the left eye, as there are no vision changes with the left eye. Which response by the nurse is appropriate?

A) "Only your doctor can tell if you have a cataract in your left eye." B) "Cataracts develop at different rates, so one eye will be more affected than the other." C) "Don't worry about it until you can't see out of your left eye." D) "Your doctor must have made an error."

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Which of the following helps the body release growth hormone (growth hormone assists in tissue regeneration, synthesis of bone, and formation of red blood cells)?

1) A healthy diet 2) Physical activity 3) Restful sleep 4) Comfortable room temperature

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The nurse is discussing organic labeling with the nutrition class when one of the participants asked about the criterion for labeling organic foods. What would be the best response?

A) It's based on what natural pesticides are used in the growing of the foods. B) It's based on whether the farm that produces the food has been certified organic. C) It's based on the number of natural fertilizers used to produce the food. D) It's based on whether it meets criterion that defines the four official organic categories.

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A nurse is giving a lecture about public policy and policy changes. A student asks about what impact culture has on public health policy. How should the nurse respond?

A. People have a right to their cultural identity and that should be prioritized over the public health policy. B. A person's culture has little to do with health behaviors. C. Policy makers should prioritize the health and well-being of the entire community, regardless of local cultural values. D. Culture not only refers to ethnicity or race, but also to various communities and groups of people.

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