A nurse is caring for a client who is receiving continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?

Apply low intermittent suction.

Increase the rate of the feeding.

Check for gastric residual.

Request a higher-fat formula.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Applying low intermittent suction is used for nasogastric tube management to remove excess air or gastric contents and is not directly related to addressing cramping and abdominal distention. This action doesn't address the underlying issue.

Choice B rationale:
Increasing the rate of feeding is not the appropriate action to take in response to cramping and abdominal distention. It might worsen the discomfort and potentially overload the client's gastrointestinal system, leading to more issues.

Choice C rationale:
(Correct Choice) Checking for gastric residual is the appropriate action in this scenario. Cramping and abdominal distention can indicate delayed gastric emptying, which might be caused by an accumulation of feeding within the stomach. By checking for gastric residual, the nurse can assess whether there is a significant amount of residual feeding present, which might require adjusting the feeding rate or intervention.
Choice D rationale:
Requesting a higher-fat formula is not the initial action to take when the client reports cramping and abdominal distention. It assumes that the discomfort is due to the formula's composition, which might not be the case. First, assessing for gastric residual and considering other factors is important before changing the formula.

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Correct Answer is A

Explanation

Choice A rationale:
Allowing the toddler to feed himself is an important aspect of promoting autonomy and developing fine motor skills. It encourages self-sufficiency and exploration of different food textures. However, close supervision is necessary to ensure the toddler's safety during feeding.
Choice B rationale:
Avoiding snacks between meals is not the most appropriate instruction for a toddler's nutritional needs. Toddlers have smaller stomach capacities and higher energy requirements due to their rapid growth. Healthy snacks can help meet their nutritional needs and prevent excessive hunger between meals.
Choice C rationale:
Providing different food for the toddler than the parents is not recommended. Ideally, toddlers should be exposed to the same nutritious foods that the family consumes. This practice helps establish healthy eating habits and exposes the toddler to a variety of foods.
Choice D rationale:
Setting meal times immediately after physical activity is not necessarily beneficial. While regular physical activity is important for toddlers, scheduling meals immediately after activity might lead to poor appetite or discomfort. It's generally better to ensure the toddler is well-rested and hungry before meals.

A. Verapamil. B. Prednisone. C. Omeprazole. D. Zolmitriptan.

Correct Answer is B

Explanation

Choice A rationale:
Verapamil is a calcium channel blocker commonly used to treat high blood pressure and angina. It doesn't significantly impact wound healing or increase the risk of wound dehiscence.
Choice B rationale:
Prednisone is a corticosteroid that suppresses the immune system and has anti-inflammatory effects. While it can be crucial for managing postoperative inflammation, its immunosuppressive nature can hinder the normal wound-healing process, increasing the risk of wound dehiscence.
Choice C rationale:
Omeprazole is a proton pump inhibitor that reduces stomach acid production. While it can influence the gastric environment, it doesn't directly impact wound healing or the risk of wound dehiscence.
Choice D rationale:
Zolmitriptan is a medication used to treat migraines. It doesn't interfere with wound healing or increase the risk of wound dehiscence.

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A nurse is caring for a client who is receiving continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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