Author Question: The patient is admitted with facial trauma, including a broken nose, and has a history of esophageal ... (Read 47 times)

Capo · **on:** Jul 22, 2018

The patient is admitted with facial trauma, including a broken nose, and has a history of esophageal reflux and of aspiration pneumonia. Given this information, which of the following tubes is appropriate for this patient?

a. Nasogastric tube
b. Percutaneous endoscopic gastrostomy (PEG) tube
c. Nasointestinal tube
d. Jejunostomy tube

Question 2

A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8 F, blood pressure 100/56, apical pulse 56, respiratory rate 12 .

Which of the vital signs should be addressed immediately? a. Respiratory rate
b. Temperature
c. Apical pulse
d. Blood pressure

juicepod · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Patients with gastroparesis or esophageal reflux or with a history of aspiration pneumonia may require placement of tubes beyond the stomach into the intestine. The nasogastric tube and the PEG tube are placed in the stomach, and placement could lead to aspiration. The nasointestinal tube and the nasogastric tube may be contraindicated by facial trauma and the broken nose. The jejunostomy tube is the only tube in the list that is beyond the stomach and is not contraindicated by facial trauma.

Answer to Question 2

B
Hypothermia is defined as a core body temperature of 95 F or below. Homeless individuals are more at risk for hypothermia owing to exposure to the elements.