A nurse is caring for a client who is receiving enteral feedings through a nasogastric tube and has developed diarrhea. Which of the following actions should the nurse take?
Add water during tube flushes
Change to an enteral formula that has added fiber.
Slow down the instillation flow rate.
Add yogurt to enteral feedings.
The Correct Answer is C
A. Add water during tube flushes: Adding water during tube flushes is important for maintaining tube patency and hydration but does not directly address diarrhea. It is not a primary solution for managing diarrhea caused by enteral feedings.
B. Change to an enteral formula that has added fiber: While fiber can help regulate bowel movements, changing to a formula with added fiber is not the first intervention for diarrhea. A slow-down of the feeding rate may be more effective to allow the digestive system more time to process the formula.
C. Slow down the instillation flow rate: Slowing down the flow rate of the enteral feeding can reduce the likelihood of diarrhea. A rapid infusion rate can overwhelm the intestines and lead to diarrhea, so adjusting the flow rate is an appropriate first step.
D. Add yogurt to enteral feedings: While yogurt contains probiotics that might help with gut health, adding it to the feeding may not be advisable unless specifically indicated. The primary step for managing diarrhea is adjusting the flow rate of the feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Make a priority list of information the client should learn: While making a priority list of information is important, it should come after assessing the client's learning needs. This ensures that the most relevant and important information is prioritized.
B. Determine the client's learning needs: The first step in planning teaching is to assess the client’s learning needs. This allows the nurse to tailor the teaching plan to the client’s level of understanding, cultural preferences, and specific concerns related to the central venous access device.
C. Obtain written information to give the client: Written information is helpful but should not be the first step. It is more effective when tailored to the client’s learning needs, which should be assessed first to ensure relevance.
D. Select a visual method to reinforce verbal teaching for the client: Visual methods can be helpful for reinforcing verbal teaching, but this step should follow the assessment of the client’s learning needs. Teaching strategy should align with the client’s preferred learning style.
Correct Answer is B
Explanation
A. "You should follow a low cholesterol diet.": While managing cholesterol is important in diabetes care, the primary focus for type 2 diabetes management is controlling blood sugar levels through a balanced diet. Cholesterol management is secondary.
B. "You should follow a balanced intake of carbohydrates, fats, and proteins.": A balanced intake of carbohydrates, fats, and proteins helps regulate blood glucose levels. Carbohydrate counting and distribution are key in diabetes management, and balancing all macronutrients supports optimal blood sugar control and overall health.
C. "You should follow a diet high in vegetables, fiber, and uncooked fruit.": While high fiber intake is beneficial in diabetes management, focusing on vegetables, fiber, and uncooked fruit may limit the client's nutrient intake. A well-rounded, balanced diet is essential.
D. "You should follow a low sodium diet.": Reducing sodium intake is beneficial for heart health, especially in diabetic clients with hypertension. However, controlling blood glucose through a balanced diet should take precedence as the primary focus in managing type 2 DM.
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