A nurse is caring for a patient receiving continuous enteral feeding through a nasogastric tube. During the assessment, the nurse discovers that the patient is experiencing diarrhea. Which of the following actions should the nurse take to address this complication?

Administer an anti-diarrheal medication as prescribed to control the symptoms.

Increase the water flushes to improve hydration and dilute the feeding solution.

Switch the feeding tube to a bolus feeding method instead of continuous feeding.

Decrease the feeding rate and consult the dietitian for a fiber-enriched formula.

Answer and Explanation

The Correct Answer is D

A.   Administering an anti-diarrheal medication as prescribed might help control the symptoms, but it is important to address the underlying cause of the diarrhea first, such as adjusting the feeding.
B.   Increasing water flushes may help with hydration, but it does not specifically address the diarrhea caused by the enteral feeding. It's more important to manage the feeding itself.
C.   Switching the feeding method to bolus feeding could increase the risk of aspiration and discomfort. Continuous feeding is generally safer and better tolerated in this context.
D.   Decreasing the feeding rate and consulting the dietitian for a fiber-enriched formula is the most appropriate response. Adjusting the feeding rate can help reduce gastrointestinal upset, and a fiber- enriched formula can help firm up stools.

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Correct Answer is ["G","H"]

Explanation

A. Advising the patient to take antacids only when severe pain occurs may not be effective. Antacids should be used regularly or as prescribed for consistent symptom relief.
B. Instructing the patient to eat three large meals per day may exacerbate symptoms; smaller, more frequent meals are often better for managing gastritis.
C. Encouraging smoking to reduce stress is harmful, as smoking can exacerbate gastritis and increase stomach acid production.
D. Spicy foods should be avoided in gastritis, as they can irritate the stomach lining.
E. NSAIDs should be avoided in gastritis because they can irritate the gastric mucosa and worsen symptoms.
F. Coffee can stimulate acid production and may irritate the stomach lining, so it should be avoided.
G. Proton pump inhibitors (PPIs) help reduce gastric acid secretion and are a mainstay treatment for gastritis.
H. A bland diet is recommended, as it avoids irritating foods and allows the stomach lining to heal.

A. Recommending high-intensity wrist exercises to strengthen wrist muscles B. Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain C. Ergonomic adjustments to the patient's work area to minimize wrist strain D. Wrist splinting, especially at night, to keep the wrist in a neutral position E. Encouraging the use of a vibrating hand massager to alleviate symptoms F. Applying heat packs to the wrist to improve circulation and relieve symptoms G. Corticosteroid injections to decrease inflammation and swelling around the median nerve

Correct Answer is ["B","C","D","G"]

Explanation

A. High-intensity wrist exercises may aggravate symptoms and should generally be avoided in carpal tunnel syndrome.
B. NSAIDs are helpful in reducing inflammation and pain, providing symptomatic relief for carpal tunnel syndrome.
C. Ergonomic adjustments to the patient’s work area, such as adjusting chair height and keyboard
positioning, can help reduce strain on the wrist.
D. Wrist splinting, especially at night, keeps the wrist in a neutral position, reducing pressure on the median nerve.
E. A vibrating hand massager could increase irritation to the median nerve and is not recommended.
F. Heat packs are not effective in treating carpal tunnel syndrome; cold therapy may help reduce inflammation.
G. Corticosteroid injections can help decrease inflammation and swelling around the median nerve, providing symptom relief.

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A nurse is caring for a patient receiving continuous enteral feeding through a nasogastric tube. During the assessment, the nurse discovers that the patient is experiencing diarrhea. Which of the following actions should the nurse take to address this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is diagnosed with gastritis after presenting with abdominal discomfort and nausea. As a nurse, which interventions would be appropriate for managing this patient's condition? (Select All that Apply.)

Correct Answer is ["G","H"]

Explanation

A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan? (Select All that Apply.)

Correct Answer is ["B","C","D","G"]

Explanation

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