When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

Monitor for hypertension

Measure residual every 24 hours

Check stools for diarrhea

Check blood glucose every 12 hours

Answer and Explanation

The Correct Answer is C

A)   Monitoring for hypertension is not directly related to caring for a client with enteral feeding via a jejunostomy tube.
B)   Measuring residual volume is a nursing intervention for clients with gastric feeding tubes, not jejunostomy tubes.
C)   Diarrhea is a potential complication of enteral feeding, and monitoring stool output is essential to assess for this complication and adjust feeding accordingly.
D)   Monitoring blood glucose levels is important for clients with diabetes but is not specific to caring for a client with enteral feeding via a jejunostomy tube.

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Correct Answer is A

Explanation

A) These are dilated veins in the esophagus that can rupture and lead to life- threatening bleeding.
B) While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed.
C) Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices.
D) This is a concern but does not represent an immediate life-threatening condition like esophageal varices.

A. Administer pancreatic enzymes B. Maintain nasogastric tube to intermittent suction C. Encourage ambulation D. Provide clear liquid diet

Correct Answer is B

Explanation

A) Pancreatic enzymes are typically used to aid in digestion rather than pain control in acute pancreatitis.
B) Decompression of the gastrointestinal tract through nasogastric suction can help reduce pancreatic stimulation and alleviate pain in acute pancreatitis.
C) While ambulation may help prevent complications, it is not directly related to pain control in acute pancreatitis.
D) A clear liquid diet may be initiated once the acute phase has resolved, but it does not directly contribute to pain control.

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When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

Correct Answer is A

Explanation

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

Correct Answer is B

Explanation

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

While assessing the client with acute pancreatitis the nurse notes the following: skin warm and dry with inelastic turgor, hypoactive bowel sounds, nausea and vomiting for 24 hours, and amber-colored urine. Which action would the nurse take next?

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

Which question would the nurse ask to identify a risk factor for liver disease?

The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?