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?
Clostridium difficile
antibiotic therapy
formula intolerance
bacterial contamination
The Correct Answer is C
Choice A reason: Clostridium difficile is a bacterium that can cause severe diarrhea, but it is usually associated with recent antibiotic use or hospitalization. The immediate onset of diarrhea after starting enteral feeding points to a more direct cause related to the feeding itself.
Choice B reason: Antibiotic therapy can lead to diarrhea by disrupting the normal gut flora, but the scenario describes an immediate response to enteral feeding, making this option less likely as the primary cause.
Choice C reason: This is the correct answer. Formula intolerance is a common cause of diarrhea soon after starting enteral feeding. The patient's gastrointestinal system may be reacting to the components of the formula, leading to symptoms like diarrhea.
Choice D reason: Bacterial contamination can cause diarrhea, but it generally does not result in immediate symptoms right after starting enteral feeding. Proper handling and preparation of enteral feeds are essential to prevent contamination, but the rapid onset in this scenario suggests formula intolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D,A,C,B
Explanation
Choice A reason:
Pulling the fire alarm is a critical step to alert everyone in the facility to the fire and summon emergency responders. This should be done immediately after ensuring the safety of individuals.
Choice B reason:
Extinguishing the fire should be attempted only if it is safe to do so and if the fire is small and contained. This step comes after ensuring the safety of clients and alerting others.
Choice C reason:
Confine the fire by closing doors to prevent the spread of smoke and flames. This step helps to control the situation until the fire department arrives.
Choice D reason:
Rescuing clients is the first priority to ensure their safety. Moving clients to a safe area away from the fire should be the immediate response in a fire emergency.
Correct Answer is C
Explanation
Choice A reason:
Oxymetazoline is not used for maintenance treatment of heart failure. It is a topical decongestant used to relieve nasal congestion and is not indicated for cardiac conditions.
Choice B reason:
Oxymetazoline provides rapid relief of nasal congestion and does not take weeks to show effects. Its action is almost immediate, making it effective for short-term use.
Choice C reason:
Limiting the use of oxymetazoline to 3 days is crucial to prevent rebound nasal congestion, a condition where the nasal passages become more congested once the medication is stopped. Overuse can lead to dependency and worsening congestion.
Choice D reason:
Oxymetazoline does not typically cause drowsiness, so taking it at bedtime is not necessary. This statement does not apply to the pharmacological effects of this medication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.