The nurse notes that the tube-fed client has shallow breathing and dusky color. The feeding is running at the prescribed rate. What is the nurse's priority action?

1. Place the client in high Fowler's position.
2. Turn off the tube feeding.
3. Assess the client's lung sounds.
4. Assess the client's bowel sounds.


Correct Answer: 2
Rationale 1: This action is not the priority.
Rationale 2: These findings indicate possible aspiration of the feeding. The priority action is to discontinue the feeding to eliminate the amount of material going into the client's lungs. This should be done before any further assessment or client position change is attempted. If it is discovered that there is no aspiration, the tube feeding can be restarted.
Rationale 3: This is not the priority action.
Rationale 4: This is not the priority action.

Nursing

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During a research study, an African-American woman was found to have a TT genotype. What information should the nurse provide?

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The physician has recommended a low-fat diet for the client with chronic pancreatitis. The client is frustrated because he likes to eat dairy products. Which of the following should the nurse suggest this client follow?

A) Choose dairy products that provide less than 1 g fat per serving. B) Switch to soy dairy products. C) Eliminate all milk products from his diet. D) Choose cheese with 5 g or less of fat.

Nursing

Which of the following percentages of homeless in the United States are families?

a. 10 b. 20 c. 30 d. 40

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