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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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A. A Venturi mask is an accurate way to deliver a specific concentration of oxygen, allowing for precise control.
B. Humidifying oxygen is recommended at flow rates higher than 4 liters per minute to prevent drying of the mucous membranes.
C. Oxygen toxicity can occur if high concentrations of oxygen are administered for prolonged periods, leading to potential lung damage.
D. Nasal cannulas typically provide a lower oxygen concentration than higher-flow devices, like a Venturi mask or non-rebreather mask.
E. Oxygen therapy is not always entirely safe regardless of the patient's condition; certain conditions require careful monitoring to prevent complications.

A. Advise the patient to take antacids only when severe pain occurs. B. Instruct the patient to eat three large meals per day. C. Encourage the patient to smoke to reduce stress. D. Recommend increased intake of spicy foods to boost metabolism. E. Suggest the patient use NSAIDS for pain relief. F. Advise the patient to drink coffee to help with digestion. G. Administer proton pump inhibitors as prescribed. H. Encourage the patient to consume a bland diet.

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.

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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 nurse is reviewing oxygen therapy with a group of new graduates. Which of the following statements indicate a correct understanding of oxygen therapy? (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

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 caring for a patient receiving enteral nutrition through a nasogastric tube. Which interventions should the nurse implement to ensure safe and effective enteral feeding? (Select All that Apply.)

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