The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

Have the client deep breathe and hold

Assist the client to ambulate on the nursing unit

Encourage the client to watch television

Apply ice to the incision site for 30 minutes

Answer and Explanation

The Correct Answer is A

A. Deep breathing and holding can help relax the patient, reduce pain perception, and enhance the effects of opioid medications.
B. Ambulating may be appropriate but should be done carefully, as it could exacerbate pain or cause dizziness after opioid administration.
C. While distraction like watching TV can help manage pain, it is not as effective as active pain-relieving interventions like deep breathing.
D. Applying ice to the incision site can be helpful for pain management, but deep breathing is more directly beneficial for managing postoperative pain.

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Correct Answer is A

Explanation

A. A high fat, low carbohydrate formula is most appropriate for patients with poorly controlled diabetes mellitus, as it helps stabilize blood glucose levels while still providing necessary nutrition.
B. A concentrated calorie formula may not be appropriate for this patient as it could lead to hyperglycemia due to increased glucose intake.
C. Whole proteins and glucose polymers might increase the glucose load and exacerbate poor blood sugar control.
D. While low sodium is important for many conditions, it is not the primary concern for managing poorly controlled diabetes mellitus in the context of enteral nutrition.

A. Discontinue tube feeding and call the practitioner for parenteral nutrition orders B. Stop the tube feeding, wait 1 hour, and recheck the residual C. Continue the tube feeding and place the patient in the left lateral decubitus position to facilitate gastric emptying D. Continue the tube feeding if no other gastrointestinal symptoms exist and reassess the patient with the next residual check

Correct Answer is B

Explanation

A. Discontinuing the tube feeding and transitioning to parenteral nutrition is not the first action, as the residual volume may be manageable with additional interventions.
B. A residual volume of 200 mL is above the usual threshold, so the nurse should stop the feeding, wait, and recheck the residual to assess if it improves.
C. While positioning can help gastric emptying, the immediate action should be to stop the feeding and reassess before continuing.
D. Continuing the feeding without rechecking the residual volume would be premature, as the volume is higher than expected, potentially increasing the risk of aspiration.

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The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with poorly controlled diabetes mellitus is to be started on enteral tube feeding. What type of formula would be most appropriate?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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