A nurse is caring for a client who is receiving a continuous NG tube feeding and is experiencing frequent diarrhea. Which of the following actions should the nurse take?

Recommend a low-calorie formula.

Chill formula before administration.

Slow the rate of the feeding.

Change the infusion tubing every 48 hr.

Answer and Explanation

The Correct Answer is C

A.   Recommending a low-calorie formula would not address the issue of diarrhea. In fact, it may exacerbate it if the client is not receiving adequate nutrition.
B.   Chilling the formula before administration is not likely to impact diarrhea and may not be comfortable for the client.
C.   Slowing the rate of the feeding can help reduce the incidence of diarrhea by allowing the client's digestive system more time to process the nutrients, decreasing the risk of overwhelming the intestines.
D.   Changing the infusion tubing every 48 hours is a routine procedure to prevent infection and is not directly related to managing diarrhea.

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Correct Answer is D

Explanation

A. TPN typically contains glucose as a source of energy. While it can help maintain glucose levels, this is not the primary reason for its use in clients with acute kidney injury.
B. TPN is not primarily used to address excessive calorie burning. It is used when a client is unable to meet their nutritional needs orally or enterally.
C. While TPN may have varying proportions of macronutrients depending on the individual's nutritional needs, the primary reason for its use in acute kidney injury is to provide nutrition when the gastrointestinal tract cannot be used.

D. TPN bypasses the gastrointestinal tract, delivering nutrients directly into the bloodstream.
This is necessary in acute kidney injury when the client may not be able to tolerate enteral feeding or when there are specific dietary restrictions.

A. "Add butter to vegetables." B. "Avoid desserts made with eggs." C. Increase fluid intake with meals." D. "Prepare hot chocolate with water instead of milk."

Correct Answer is C

Explanation

A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.

C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.

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A nurse is caring for a client who is receiving a continuous NG tube feeding and is experiencing frequent diarrhea. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute kidney injury and has been prescribed total parenteral nutrition (TPN). When educating the client on the use of TPN, which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is providing nutritional teaching to a client who has AIDS-related wasting syndrome. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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