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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "No. The color will fade gradually as liver inflammation decreases.": This response provides accurate information and reassurance, addressing the patient's concerns about her appearance while being supportive.

B. "Yes, but cosmetics can disguise the color.": This dismisses the patient’s concerns and is not empathetic or accurate, as jaundice usually resolves when liver function improves.

C. "Yes, but your sclera will return to their previous white color.": While the sclera may clear up, this does not address the entire issue of jaundice affecting skin color.

D. "No. The color will change to freckles.": This is misleading and untrue, potentially worsening the patient's anxiety.

A. Perforation B. Obstruction C. Infection D. Constipation

Correct Answer is A

Explanation

A. Perforation: A temperature of 102.4° F and abdominal rigidity are suggestive of peritonitis, which is a potential complication of diverticulosis. Perforation of a diverticulum can lead to leakage of intestinal contents into the abdominal cavity, causing infection and inflammation.

B. Obstruction: Although obstruction can occur in diverticulosis, it typically causes symptoms such as bloating, abdominal distention, and pain, not fever and rigidity.

C. Infection: While infection can occur with diverticulosis, fever and rigidity in this scenario are more likely due to perforation leading to peritonitis, which is a more severe condition.

D. Constipation: While constipation can exacerbate diverticulosis, it would not typically cause fever or abdominal rigidity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young woman with severe jaundice has an altered body image. The patient says, "Will I always be this horrible color?" What is the best response by the nurse?

Correct Answer is A

Explanation

A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?

Correct Answer is A

Explanation

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