A client has diarrhea due to a high carbohydrate and electrolyte content of the fluid in the tube feeding. Which of the following nursing actions will be most appropriate?

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Question 1 of 5

A client has diarrhea due to a high carbohydrate and electrolyte content of the fluid in the tube feeding. Which of the following nursing actions will be most appropriate?

A. Instructing the client to remain in a semi-Fowler's position B. Consulting the physician about decreasing the infusion rate C. Administering the tube feedings continuously D. Maintaining the tube patency

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

How will an obstruction at the ampulla of Vater affect the digestion of all nutrients?

A. Bile is responsible for emulsification of all nutrients and vitamins. B. Intestinal digestive enzymes are released through the ampulla of Vater. C. Both bile and pancreatic enzymes enter the duodenum at the ampulla of Vater. D. Gastric contents can only pass to the duodenum when the ampulla of Vater is open.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Priority Decision: Before administering a bolus of intermittent tube feeding to a patient with a percutaneous endoscopic gastrostomy (PEG), the nurse aspirates 220 mL of gastric contents. How should the nurse respond?

A. Return the aspirate to the stomach and recheck the volume of aspirate in an hour. B. Return the aspirate to the stomach and continue with the tube feeding as planned. C. Discard the aspirate to prevent overdistending the stomach when the new feeding is given. D. Notify the health care provider that the feedings have been scheduled too frequently to allow for stomach emptying

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Ondansetron (Zofran) is prescribed for a patient with cancer chemotherapy'“induced vomiting. What should the nurse understand about this drug?

A. It is a derivative of cannabis and has a potential for abuse. B. It has a strong antihistamine effect that provides sedation and induces sleep. C. It is used only when other therapies are ineffective because of side effects of anxiety and hallucinations. D. It relieves vomiting centrally by action in the vomiting center and peripherally by promoting gastric emptying.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Following a Billroth II procedure

A. a patient develops dumping syndrome. The nurse should explain that the symptoms associated with this problem are caused by B. distention of the smaller stomach by too much food and fluid intake. C. hyperglycemia caused by uncontrolled gastric emptying into the small intestine. D. irritation of the stomach lining by reflux of bile salts because the pylorus has been removed.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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