A nurse is caring for a client who is 2 days postoperative following abdominal Surgery and requires enteral feedings.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at highest risk for developing
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Rationale:
Aspiration: The client has high gastric residual volumes (220 mL at 0800, 280 mL at 0900) while receiving enteral feedings via NG tube. Delayed gastric emptying increases the risk that stomach contents could reflux and enter the lungs, causing aspiration pneumonia. Continuous monitoring and potentially holding or adjusting feedings are indicated.
Skin breakdown: The client is postoperative, has an NG tube, limited mobility, and is experiencing pain that may reduce movement. These factors, combined with urine output changes and potential incontinence, increase the risk for pressure ulcers and skin breakdown at pressure points.
Other risks such as bleeding, hyperglycemia, and urinary retention are less immediate given the client’s current assessment and lab/vital signs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Family planning: This is primary prevention, aimed at preventing unwanted pregnancies and promoting reproductive health.
B. Diabetes screening: Screening is secondary prevention, identifying disease early to prevent progression.
C. Physical therapy: Tertiary prevention focuses on rehabilitation and restoration of function after disease or injury has occurred. Physical therapy helps clients regain mobility and prevent complications in chronic or post-acute conditions.
D. Nutrition counseling: Nutrition counseling can be primary or secondary prevention depending on the context, but it is not tertiary unless focused on managing existing disease complications.
Correct Answer is ["8"]
Explanation
Volume to administer= Desired dose/available concentration
= 40mg/5mg/mL
= 8 mL
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.