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 B

Explanation

A. Iron deficiency anemia typically presents with a low MCV, not an elevated MCV, and it is less likely to be associated with the symptoms of glossitis and peripheral neuropathy.
B. Vitamin B12 deficiency anemia is a likely diagnosis in this patient. Chronic alcohol use can lead to malabsorption of vitamin B12, which contributes to macrocytic anemia (high MCV). Symptoms like glossitis and peripheral neuropathy are common in B12 deficiency.
C. Thalassemia minor usually presents with microcytic anemia and would not typically cause the elevated MCV or neurological symptoms seen in this patient.
D. Anemia of chronic disease typically presents with a normal or low MCV and is not associated with elevated MCV or the neurological symptoms seen in this patient.

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 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

Correct Answer is B

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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