A nurse is caring for a client who is receiving a continuous NG tube feeding and is experiencing frequent diarrhea. Which of the following actions should the nurse take?
Recommend a low-calorie formula.
Chill formula before administration.
Slow the rate of the feeding.
Change the infusion tubing every 48 hr.
The Correct Answer is C
A. Recommending a low-calorie formula would not address the issue of diarrhea. In fact, it may exacerbate it if the client is not receiving adequate nutrition.
B. Chilling the formula before administration is not likely to impact diarrhea and may not be comfortable for the client.
C. Slowing the rate of the feeding can help reduce the incidence of diarrhea by allowing the client's digestive system more time to process the nutrients, decreasing the risk of overwhelming the intestines.
D. Changing the infusion tubing every 48 hours is a routine procedure to prevent infection and is not directly related to managing diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Parkinson's disease and monoamine oxidase inhibitors (MAOIs) do not typically require a reduction in intake of high-calorie foods. In fact, maintaining adequate nutrition and calorie intake is important for individuals with Parkinson's disease.
B. Grapefruit is not typically contraindicated with monoamine oxidase inhibitors. However, it's important for the client to discuss any potential interactions between grapefruit and their specific medication with their healthcare provider.
C. Aged cheeses contain tyramine, a substance that can interact with MAOIs and lead to hypertensive crisis. Therefore, individuals taking MAOIs should avoid aged cheeses to prevent this interaction.
D. Maintaining a low-protein diet is not typically recommended for individuals with Parkinson's disease or those taking MAOIs. In fact, adequate protein intake is important for overall health and muscle function.
Correct Answer is C
Explanation
A. Urine output of 25 mL/hr may indicate inadequate renal perfusion or ongoing dehydration, which is not indicative of effective treatment for hypernatremia.
B. Fatigue is a nonspecific finding and does not specifically indicate the effectiveness of treatment for hypernatremia.
C. A firm grip bilaterally suggests adequate hydration and electrolyte balance, which would indicate effective treatment for hypernatremia.
D. Weight gain may occur with fluid retention, which could indicate overhydration rather than effective treatment for hypernatremia.
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