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?
Clostridium difficile
Antibiotic therapy
Formula intolerance
Bacterial contamination
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Chewing sublingual medication is incorrect. Sublingual medications are designed to dissolve under the tongue for rapid absorption into the bloodstream.
B: Letting the medication dissolve completely is correct. This ensures that the medication is absorbed properly and works effectively.
C: There is no restriction on drinking juice with sublingual medication unless specified by the healthcare provider. This statement does not indicate a clear understanding of sublingual administration.
D: Placing the medication between the cheek and gum is incorrect for sublingual medications. This method is used for buccal medications, not sublingual ones.
Correct Answer is D
Explanation
A: An oxygen saturation range of 80-100% is incorrect. Saturation levels below 90% are considered low and may indicate hypoxemia, requiring medical attention.
B: An oxygen saturation range of 93-100% is generally acceptable, but the ideal range is slightly higher to ensure adequate oxygenation.
C: An oxygen saturation range of 90-100% includes levels that are borderline low. While 90% is often used as a threshold for concern, the optimal range is higher.
D: An oxygen saturation range of 95-100% is considered normal and indicates adequate oxygenation of the blood. This range ensures that tissues receive sufficient oxygen to function properly.
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