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Practice Question

A client being treated in a medical-surgical unit is receiving tube feedings. Over the past two days, the client has developed diarrhea, cramps, and abdominal distention. Which of the following interventions would be most appropriate for the nurse to complete? Select all that apply.

Answer Choices:

Correct Answer:

Anticipate changing to a lactose-free formula.

Rationale:

🥛Anticipating a switch to a lactose-free formula addresses potential lactose intolerance, a common cause of diarrhea and cramping.

🧪Changing the feeding apparatus every 24 hours prevents bacterial overgrowth that can exacerbate gastrointestinal symptoms.

🐢Slowing the administration rate reduces the osmotic load on the intestines, thereby minimizing abdominal distention and discomfort.

💧Using a diluted formula with gradual increases in volume and concentration promotes intestinal adaptation and prevents feeding intolerance.

📌Core Message

Adjusting formula type, equipment, administration rate, and concentration enhances tube feeding tolerance.

Want to practice more questions like this?

This question is from NCLEX-RN Practice Exam-4 which contains 123 questions.

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Answer Choices:

A. Fill out an event report and notify the provider.
B. Check and complete orders for the next patient.
C. Deliver meal tray and document intake and output.
D. Obtain a set of vital signs and assess neurological function.
E. Administer acetaminophen and document intake and output.
A client seeks medical attention in the emergency department after developing acute abdominal pain two days prior. Which of the following actions by the nurse helps ensure accurate auscultation of the client's bowel sounds?

Answer Choices:

A. Auscultating the abdomen by utilizing the bell of the stethoscope
B. Listening for one full minute in each quadrant to confirm absence of bowel sounds
C. Pressing the stethoscope gently but deeply into the abdomen
D. Requiring that the client empty his or her bladder prior to auscultating the abdomen
A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor. Which of the following clients would most appropriately be assigned to the bed at the end of the hall, away from the nurses' station?

Answer Choices:

A. A 27-year-old client with unstable hyperthyroidism who has a heart rate of 110 beats per minute
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A nurse manager is scheduling nursing shifts for the next week. Which client would be best placed with a new nurse?

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From Exam
NCLEX-RN Practice Exam-4

123 Questions

View Full Exam
Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX-RN-Practice Exams
  • Domain: NCLEX RN (Practice Exams)
  • Answer Choices: 5
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