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The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?

A.

Clostridium difficile

B.

Antibiotic therapy

C.

Formula intolerance

D.

Bacterial contamination

Answer and Explanation

The Correct Answer is C

A: Clostridium difficile infection typically develops after prolonged antibiotic use and is not the most likely cause of diarrhea immediately after starting enteral feeding.

B: Antibiotic therapy can cause diarrhea, but it is not the most likely cause in this scenario where the diarrhea started soon after beginning enteral feeding.

C: Formula intolerance is the most likely cause of diarrhea shortly after starting enteral feeding. The patient’s digestive system may not tolerate the formula well, leading to diarrhea.

D: Bacterial contamination is a possible cause but is less likely to cause immediate diarrhea after starting enteral feeding compared to formula intolerance. Proper handling and preparation of the formula should minimize this risk.


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Related Questions

Correct Answer is C

Explanation

A: A trochanter roll is used to prevent external rotation of the hips, not to prevent plantar flexion contractures.

B: A sheepskin heel pad provides cushioning and helps prevent pressure ulcers on the heels but does not prevent plantar flexion contractures.

C: A footboard is used to prevent plantar flexion contractures by keeping the feet in a neutral position. This helps maintain proper alignment and prevents the muscles and tendons from shortening.

D: An abduction pillow is used to maintain hip abduction, typically after hip surgery, and does not prevent plantar flexion contractures.

Correct Answer is B

Explanation

A: Vitamin D is important for bone health and immune function but is not the primary nutrient for wound healing.

B: Protein is essential for wound healing. It provides the building blocks (amino acids) necessary for tissue repair and regeneration. Adequate protein intake supports the formation of new tissue and the healing process.

C: Vitamin B is important for energy metabolism and overall health but is not the primary nutrient for wound healing.

D: Calcium is crucial for bone health and muscle function but is not the primary nutrient for wound healing. Protein plays a more direct role in the repair and regeneration of tissues.

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