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A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula.

The nurse recognizes this is being done to resolve which of the following conditions?

Constipation

Diarrhea

Electrolyte imbalance

Delayed gastric emptying

Answer and Explanation

The Correct Answer is B

Choice A rationale

Constipation is not typically resolved by diluting enteral feeding formula.

Choice B rationale

Diarrhea can be a common side effect of enteral feeding, and diluting the formula can help manage this.

Choice C rationale

While electrolyte imbalance can occur with enteral feeding, diluting the formula is not typically done to resolve this issue.

Choice D rationale

Delayed gastric emptying is not typically resolved by diluting enteral feeding formula.

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Correct Answer is B

Explanation

Choice A rationale

Excessive thirst and urination are symptoms of hyperglycemia, not hypoglycemia. Hyperglycemia could occur if the TPN solution was infusing too quickly, but it would not be a result of the infusion pump not working.

Choice B rationale

Shakiness and diaphoresis are manifestations of hypoglycemia. When a sudden interruption in the infusion of TPN occurs, the patient is at risk for hypoglycemia.

Choice C rationale

Fever and chills are symptoms of infection, not a direct result of the TPN infusion stopping.

Choice D rationale

Hypertension and crackles in the lungs are signs of fluid overload, not hypoglycemia. These symptoms would not be expected if the TPN infusion stopped.

A. Purplish-colored stoma. B. Rosebud-like stoma orifice. C. Stoma oozing red drainage. D. Shiny, moist stoma.

Correct Answer is A

Explanation

Choice A rationale

A purplish-colored stoma may indicate compromised circulation, which is a serious condition that requires immediate medical attention18.

Choice B rationale

A rosebud-like stoma orifice is a normal finding and does not need to be reported18.

Choice C rationale

A stoma oozing red drainage is a normal finding immediately after surgery and does not need to be reported18.

Choice D rationale

A shiny, moist stoma is a normal finding and does not need to be reported18.

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A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula. The nurse recognizes this is being done to resolve which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse finds that the infusion pump for a patient’s total parenteral nutrition (TPN) solution is not working. What condition should the nurse monitor the patient for?

Correct Answer is B

Explanation

A nurse in a post-anesthesia care unit (PACU) is assessing a patient who has a newly created colostomy. What findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is assessing a patient who has had diarrhea for several days. Which of the following findings should the nurse expect?

A nurse is assessing a client who has a colostomy and notices that the stoma is pale in color. Which of the following findings should the nurse report to the provider?

A nurse is about to replace a nearly depleted container of total parenteral nutrition (TPN) for a patient, but discovers a delay in the delivery of the new TPN solution from the pharmacy. Which solution should the nurse administer until the next TPN solution is available?

A nurse is assessing a patient’s wound dressing and observes a watery red drainage. How should the nurse document this type of drainage?

Which of the following correctly describes the process of hearing?

A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?

A nurse is preparing to instill 840 mL of enteral nutrition via a patient’s gastrostomy tube over 24 hours using an infusion pump. How many mL/hr should the nurse set the infusion pump to deliver?

A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula.

The nurse recognizes this is being done to resolve which of the following conditions?