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A 55-year-old client is unconscious, and his physician has decided to begin tube feeding him using a smallbore silicone feeding tube (Keofeed, Duo-Tube). After the tube is inserted, the nurse identifies the most reliable way to confirm appropriate placement is to:
A. Place the tip of the tube under water and observe for air bubbles
B. Auscultate air insufflated through the tube
C. Obtain a chest x-ray
D. Aspirate gastric contents
Answer: C
Explanation:
(A) Aspiration of gastric contents is usually a reliable way to verify tube placement. However, if the client has dark respiratory secretions from bleeding, tube feedings could be mistaken for respiratory secretions; in other words, aspirating an empty stomach is less reliable in this instance. In addition, it is common for small-bore feeding tubes to collapse when suction pressure is applied. (B) Insufflation of air into large-bore nasogastric tubes can usually be clearly heard. In small-bore tubes, it is more difficult to hear air, and it is difficult to distinguish between air in the stomach and air in the esophagus. (C) A chest x-ray is the most reliable means to determine placement of small-bore nasogastric tubes. (D) Observing for air bubbles when the tip is held under water is an unreliable means to determine correct tube placement for all types of nasogastric tubes. Air may come from both the respiratory tract and the stomach, and the client who is breathing shallowly may not force air out of the tube into the water.
Refer to the exhibit.
Which VPN solution does this configuration represent?
A. site-to-site
B. SSL VPN
C. Cisco AnyConnect (IKEv2)
D. DMVPN
Answer: B
Refer to the exhibit.
Switch A, B, and C are trunked together and have been properly configured for VTP. Switch B has all VLANs, but Switch C is not receiving traffic from certain VLANs. What would cause this issue?
A. VTP pruning is configured globally on all switches and it removed VLANs from the trunk interface that is connected to Switch C.
B. The VTP revision number of Switch B is higher than that of Switch A.
C. A VTP authentication mismatch occurred between Switch A and Switch B.
D. The trunk between Switch A and Switch B is misconfigured.
Answer: A
DRAG DROP
You are developing a SQL Server Integration Services (SSIS) package that is ready for deployment to a production server. The package contains sensitive information secured by using the EncryptSensitiveWithUserKey package protection level.
You are preparing the package for deployment by the production operations team.
You need to ensure that the production operations team can open and execute the package without re- entering the sensitive information.
Which three steps should you perform in sequence? (To answer, move the appropriate actions from the list of actions to the answer area and arrange them in the correct order.)
Answer:
Explanation:
Box 1:
Box 2:
Box 3:
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