A nurse is reviewing the history and physical of a client who has right ventricular heart failure.
Which of the following is an expected finding?

A. A metallic taste in the mouth is a common side effect of the contrast dye used in IV urography procedures and is not typically a cause for concern.

B. Abdominal fullness may occur due to the administration of fluids during the procedure and is not usually a priority finding unless it persists or is severe.

C. Feeling flushed and warm may be a transient reaction to the contrast dye and does not typically require immediate intervention unless accompanied by other symptoms.

D. Swollen lips could indicate an allergic reaction to the contrast dye, which can progress rapidly and potentially lead to a severe reaction such as anaphylaxis. This is the priority finding requiring immediate attention.

A.

A. Discarding opened cans of formula after 24 hours helps prevent bacterial contamination and growth, which can contribute to diarrhea in clients receiving enteral feedings.

B. Extension tubing should be replaced according to institutional policy and manufacturer recommendations, typically every 24 to 48 hours, but it is not directly related to diarrhea management.

C. Irrigating the tubing with warm water is not a standard practice for managing diarrhea in clients receiving enteral feedings and may disrupt the client's fluid and electrolyte balance.

D. Increasing the infusion rate of enteral feedings is not indicated for managing diarrhea and may exacerbate the problem by overwhelming the client's gastrointestinal tract. The rate of enteral feeding should be adjusted based on the client's nutritional needs and tolerance, as determined by the healthcare provider.