The patient has just been started on enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?

Choice A reason: Keeping the fluorescent ceiling light on at night can disrupt sleep and is not necessary for preventing falls. Nightlights or bedside lamps are more appropriate for providing enough light to move around safely without disturbing sleep.

Choice B reason: Keeping the walker at the end of the bed is not a practical or safe placement. It should be within easy reach of the client to ensure it can be used immediately upon standing to prevent falls.

Choice C reason: This is the correct answer. Placing a bath seat in the shower is an excellent strategy for preventing falls. It allows the client to sit while bathing, reducing the risk of slipping and falling in the shower, which is a common hazard area.

Choice D reason: Placing an area rug at the entry of the bathroom can create a tripping hazard. It is important to avoid loose rugs or mats that could cause falls, especially in areas where water might make the floor slippery.

Choice A reason:

Client history of hypertension is not a contraindication for propofol (Diprivan) use. Propofol is primarily metabolized in the liver and excreted by the kidneys. It is generally well tolerated by most patients, including those with hypertension. Hypertension, however, is a condition that needs careful monitoring when using any anesthetic, as anesthesia can sometimes cause changes in blood pressure. This choice might be distracting because patients with hypertension require close monitoring, but it is not a specific contraindication.

Choice B reason:

Allergies to egg or soy products are a significant contraindication for the use of propofol. Propofol is formulated in a lipid emulsion that contains soybean oil and egg lecithin. Patients with known allergies to eggs or soy products may have a hypersensitivity reaction to propofol. Therefore, it is crucial for the nurse to assess for these allergies before administering the medication. This answer directly addresses the specific content of propofol and potential allergenic ingredients.

Choice C reason:

An allergy to latex is not directly relevant to the use of propofol. While latex allergies are important to identify in a clinical setting to avoid exposure to latex-containing medical supplies, they do not contraindicate the use of propofol. Propofol itself does not contain latex, and thus this choice does not address a specific contraindication for the drug in question.

Choice D reason:

The statement that propofol has no contraindications is incorrect. Like any medication, propofol has contraindications that need to be considered before administration. Allergies to its components, specifically egg and soy products, are known contraindications. This choice is misleading as it overlooks these critical factors.