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 A
Explanation
Choice A rationale
Dehydration is a common finding in a patient who has had diarrhea for several days. Symptoms of dehydration can include dark-colored urine, excessive thirst, fatigue, dizziness, or light-headedness.
Choice B rationale
Diarrhea does not typically cause decreased bowel sounds.
Choice C rationale
A rigid abdomen is not a typical finding in a patient who has had diarrhea for several days.
Choice D rationale
Hypothermia is not a typical finding in a patient who has had diarrhea for several days.
Correct Answer is B
Explanation
Choice A rationale
A stoma may appear red and moist immediately after surgery, similar to the inside of the mouth. A purplish color could indicate a lack of blood supply to the stoma, which is a medical emergency.
Choice B rationale
A small amount of bleeding around the stoma is normal, especially when cleaning the area or changing the ostomy appliance. This is because the stoma contains blood vessels and has a rich blood supply.
Choice C rationale
Fecal output from a colostomy can be expected within 2 to 4 days after surgery. It is not typical to see output within 24 hours.
Choice D rationale
An increase in the intake of raw vegetables is not necessary after a colostomy. In fact, some people may find certain raw vegetables difficult to digest and they may cause gas or odor.
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