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PLTian College of Nursing: A very tricky question...

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A very tricky question...

ANSWER ME IF U CAN!
The client with a total laryngectomy receives tube feedings to meet his fluid and nutrition needs. What is the primary rationale for tube feedings in this situation?
(1) Prevent pain from swallowing.
(2) Ensure adequate intake.
(3) Prevent fistula development.
(4) Allow for adequate suture line healing.