A nurse is caring for patients with dysphagia. Which patient has ...

[HCHenry]

A nurse is caring for patients with dysphagia. Which patient has neurogenic dysphagia?
 
  a. A patient with benign peptic stricture
  b. A patient with muscular dystrophy
  c. A patient with myasthenia gravis
  d. A patient with stroke

Question 2

The patient is admitted with facial trauma, including a broken nose, and has a history of esophageal reflux and of aspiration pneumonia. With which tube will the nurse most likely administer the feeding?
 
  a. Nasogastric tube
  b. Jejunostomy tube
  c. Nasointestinal tube
  d. Percutaneous endoscopic gastrostomy (PEG) tube

[todom5090]

Answer to Question 1

ANS: D
Stroke is the only cause of dysphagia in this list that is considered neurogenic. Myasthenia gravis and muscular dystrophy are considered myogenic in origin, whereas benign peptic stricture is considered obstructive.

Answer to Question 2

ANS: B
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 jejunostomy tube is the only tube in the list that is beyond the stomach and is not contraindicated by facial trauma. 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.

[HCHenry]

TY

[todom5090]

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