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: High calcium intake is not a recognized risk factor for deep-vein thrombosis (DVT). DVT is primarily influenced by factors such as blood flow, vessel health, and coagulation tendencies, rather than dietary calcium levels.

Choice B reason: Hypertension can contribute to cardiovascular issues, but it is not directly linked to an increased risk of DVT. Other factors, such as immobility and hypercoagulability, are more significant in the development of DVT.

Choice C reason: This is the correct answer. Immobility is a well-known risk factor for DVT. Prolonged periods of inactivity, such as bed rest or long flights, can lead to blood pooling in the veins of the lower extremities, increasing the risk of clot formation.

Choice D reason: This is the correct answer. Oral contraceptive use is associated with an increased risk of DVT due to the hormones that can affect blood clotting mechanisms. Women using these contraceptives should be aware of the increased risk and take preventive measures.

Choice E reason: A BMI of 20 is considered to be within the normal weight range and is not a risk factor for DVT. Obesity, indicated by a higher BMI, is a recognized risk factor due to increased venous pressure and reduced mobility.

Choice A reason:

Repositioning the client at least every 2 hours is a standard intervention to prevent further pressure ulcers and promote healing of existing ones. This practice helps alleviate pressure on vulnerable areas, improving blood circulation and reducing the risk of tissue breakdown.

Choice B reason:

Cleaning the wound with hydrogen peroxide solution is not recommended for pressure ulcers as it can damage healthy tissue and delay wound healing. Alternative wound cleaning solutions that are less harsh should be used to promote a more conducive healing environment.

Choice C reason:

Massaging reddened areas with dressing changes is contraindicated as it can exacerbate tissue damage and increase the risk of further ulceration. Gentle handling and appropriate wound care are essential to prevent additional harm to the affected areas.

Choice D reason:

Applying a heat lamp twice a day is not a standard or recommended practice for treating pressure ulcers. Heat can increase the risk of burns and further tissue damage. Proper wound care, including maintaining a clean and moist wound environment, is more effective for healing.