A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula.
The nurse recognizes this is being done to resolve which of the following conditions?
Constipation
Diarrhea
Electrolyte imbalance
Delayed gastric emptying
The Correct Answer is B
Choice A rationale
Constipation is not typically resolved by diluting enteral feeding formula.
Choice B rationale
Diarrhea can be a common side effect of enteral feeding, and diluting the formula can help manage this.
Choice C rationale
While electrolyte imbalance can occur with enteral feeding, diluting the formula is not typically done to resolve this issue.
Choice D rationale
Delayed gastric emptying is not typically resolved by diluting enteral feeding formula.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Discarding the dressing in the bedside trash receptacle is not recommended because it can lead to the spread of infection. The dressing is contaminated with blood and purulent drainage, which are considered biohazardous waste.
Choice B rationale
Double-bagging the dressing in clear bags and labeling it “biohazard” is not sufficient. While it’s important to label biohazardous waste, the dressing should be disposed of in a designated biohazardous waste container.
Choice C rationale
Enclosing the dressing in a single clear plastic bag and discarding it in the bedside trash receptacle is also not recommended. This method does not provide adequate containment for biohazardous waste.
Choice D rationale
Disposing of the dressing in a biohazardous waste container is the correct method. This ensures that the biohazardous waste is properly contained and reduces the risk of spreading infection.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
The presence of a grab bar in the bathroom is actually a safety measure that can help prevent falls. It provides support for the patient when they are getting up or moving around, reducing the risk of a fall.
Choice B rationale
An electrical cord lying across a walkway is a tripping hazard and would increase the patient’s risk of falling. It is important to keep walkways clear of clutter and potential obstacles to prevent falls.
Choice C rationale
Macular degeneration can affect the patient’s vision, making it difficult for them to see obstacles or changes in the walking surface. This can increase their risk of falling.
Choice D rationale
Throw rugs in the kitchen can easily slip or bunch up, creating a tripping hazard. They should be secured with non-slip backing or removed to reduce the risk of falls.
Choice E rationale
While a cane can provide support and improve balance, it also indicates that the patient has mobility issues, which increases their risk of falling. It is important that the patient uses the cane correctly and that it is the right height for them.
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