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 A
Explanation
A. Decrease the client's fluid intake: In cirrhosis with ascites, the liver's ability to regulate fluid balance is impaired. Decreasing fluid intake helps prevent further accumulation of fluid in the abdomen (ascites).
B. Increase the client's sodium intake: Sodium intake should be restricted in patients with cirrhosis and ascites to reduce fluid retention and prevent worsening edema and ascites.
C. Decrease the client's carbohydrate intake: Carbohydrate intake is generally not restricted in cirrhosis unless there are concerns about hyperglycemia. It's important to maintain an adequate diet for the patient.
D. Increase the client's saturated fat intake: Increasing saturated fats is not appropriate in cirrhosis, as it can worsen liver damage and contribute to further complications. A balanced, low-fat diet is recommended instead.
Correct Answer is A
Explanation
VolumetoAdminister= (Desired dose / Dose on hand)× VolumeonHand
VolumetoAdminister= 8mg / 4mg ×5mL=10mL
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