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 D

Explanation

A) While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B) Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C) This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D) This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.

A. Weight loss B. Cool, clammy skin C. Bruising on flank D. Ascites

Correct Answer is A

Explanation

A) Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite.
B) Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension.
C) Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions.
D) Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.

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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

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?

Correct Answer is D

Explanation

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

Correct Answer is A

Explanation

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

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

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

What does the nurse identify as a potential complication of chronic pancreatitis?

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

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

The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?