A patient has a decreased gag reflex, left-sided weakness, and drooling. Which action will the nurse take when feeding this patient?

Correct Answer: B

Rationale: The correct answer is B: Flex head with chin tuck. This position helps prevent aspiration by closing off the airway during swallowing. Flexing the head and tucking the chin promotes safe swallowing and reduces the risk of choking. Placing food on the left side (choice C) is not relevant to addressing the patient's symptoms. Positioning in semi-Fowler's (choice A) may not directly address the swallowing difficulty. Offering fruit juice (choice D) does not address the patient's specific feeding needs and may not be safe if the patient has swallowing difficulties.

Correct Answer: D

Rationale: The correct answer is D: Obese. This classification is based on the Body Mass Index (BMI) calculation, which takes into account weight and height. A BMI above 30 is considered obese, indicating excess body fat. Other choices are incorrect because they do not align with the BMI criteria for obesity. Choice A is incorrect as normal weight falls within a specific BMI range. Choice B is incorrect for individuals with a BMI below the normal range. Choice C is incorrect for individuals with a BMI between the overweight and obese categories.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): To determine the correct length of the nasogastric tube needed to be inserted, the nurse should measure from the tip of the earlobe to the nose and then to the xiphoid process. This method ensures that the tube reaches the stomach without coiling in the esophagus or being inserted too far down. The distance from the earlobe to the nose approximates the distance from the nose to the stomach, and measuring to the xiphoid process ensures proper placement. This technique minimizes the risk of complications such as aspiration or misplacement. Summary of Incorrect Choices: A: Measuring from the tip of the nose to the earlobe is incorrect because it does not take into account the distance to the stomach. B: Measuring from the tip of the earlobe to the xiphoid process alone is incorrect because it does not consider the distance through the nasal passage. D: Measuring from the tip of the nose to the earlobe to

Correct Answer: C

Rationale: The correct answer is C: Formula intolerance. When a patient develops diarrhea shortly after starting enteral feeding, formula intolerance is the most likely cause. This can occur due to the patient's inability to tolerate certain ingredients in the formula, leading to gastrointestinal upset. Antibiotics (choice A) and Clostridium difficile (choice B) typically take longer to cause diarrhea. Bacterial contamination (choice D) would usually result in more severe symptoms beyond just diarrhea. In this scenario, formula intolerance is the most logical explanation for the immediate onset of diarrhea after starting enteral feeding.

Correct Answer: B

Rationale: Correct Answer: B - Eat fish at least 5 times per week. Rationale: 1. Fish is rich in omega-3 fatty acids, which are beneficial for heart health. 2. Eating fish frequently can help reduce the risk of cardiovascular diseases. 3. Consuming fish aligns with dietary recommendations for cardiovascular health. Summary of Incorrect Choices: A: Maintaining carbohydrate intake is important, but it may not specifically indicate success in cardiovascular disease management. C: Limiting trans fats is crucial, but it alone may not indicate overall success in dietary management for cardiovascular disease. D: Avoiding high-fiber foods is not recommended, as fiber is beneficial for heart health and overall well-being.