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NCLEX-RN · Question #306

NCLEX-RN Question #306: Real Exam Question with Answer & Explanation

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Question

The nurse is caring for a client who has had a tracheostomy for 7 years. The client is started on a fullstrength tube feeding at 75 mL/hr. Prior to starting the tube feeding, the nurse confirms placement of the tube in the stomach. The hospital policy states that all tube feeding must be dyed blue. On suctioning, the nurse notices the sputum to be a blue color. This is indicative of which of the following?

Options

  • AThe client aspirated tube feeding.
  • BThe nurse has placed the suction catheter in the esophagus.
  • CThis is a normal finding.
  • DThe feeding is infusing into the trachea.

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