After receiving a tube feeding, a nurse assesses the patient to be sweaty with abdominal distention and diarrhea. What is the most likely cause of this response?
Gastric reflux syndrome
Dumping syndrome
Expected reaction to the tube feeding
Onset of gastroenteritis
The Correct Answer is B
A. Gastric reflux syndrome: Reflux is unlikely to cause systemic symptoms such as sweating or rapid gastrointestinal symptoms.
B. Dumping syndrome: Rapid infusion of nutrients into the small intestine can cause fluid shifts, leading to symptoms such as sweating, diarrhea, and abdominal distention.
C. Expected reaction to the tube feeding: These symptoms are not expected or normal.
D. Onset of gastroenteritis: Gastroenteritis is typically caused by an infection and presents with additional symptoms like fever and persistent vomiting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bisacodyl: A stimulant laxative that promotes bowel movements but may not be effective in refractory opioid-induced constipation.
B. Mineral oil: A lubricant that softens stools but does not address the opioid-specific cause of constipation.
C. Methylnaltrexone: A peripherally acting opioid antagonist that specifically targets opioid-induced constipation without affecting pain relief, making it the best option for refractory cases.
D. Docusate: A stool softener that is typically ineffective alone for severe opioid-induced constipation.
Correct Answer is A
Explanation
A. "Administer with a full glass of water.": Psyllium is a bulk-forming laxative that absorbs water in the intestines. Sufficient hydration is essential to prevent obstruction or impaction.
B. "Avoid mixing in juice.": Psyllium can be mixed in any non-carbonated liquid, including juice, making this instruction unnecessary.
C. "Fat-soluble vitamin deficiency is common.": Psyllium does not interfere with fat-soluble vitamin absorption, so this statement is incorrect.
D. "Limit the intake of high-fiber foods.": Psyllium complements a high-fiber diet, so restricting fiber is counterproductive.
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