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?

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Question 1 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 2 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.

Question 3 of 5

What laboratory findings are expected in ulcerative colitis as a result of diarrhea and vomiting?

A. Increased albumin B. Elevated white blood cells (WBCs) C. Decreased Na+, K+, Mg+, Cl'“, and HCO3'“ D. Decreased hemoglobin (Hgb) and hematocrit (Hct)

Correct Answer: C

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

Question 4 of 5

The patient asks the nurse why she needs to have surgery for a femoral, strangulated herni What is the best explanation the nurse can give the patient?

A. The surgery will relieve her constipation. B. The abnormal hernia must be replaced into the abdomen. C. The surgery is needed to allow intestinal flow and prevent necrosis. D. The hernia is because the umbilical opening did not close after birth as it should have.

Correct Answer: C

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

Question 5 of 5

A patient diagnosed with chronic hepatitis B asks about drug therapy to treat the disease. What is the most appropriate response by the nurse?

A. Only chronic hepatitis C is treatable and primarily with antiviral agents and interferon.' B. There are no specific drug therapies that are effective for treating acute viral hepatitis.' C. Interferon combined with lamivudine (Epivir) will decrease viral load and prevent complications.' D. There are no drugs used for the treatment of viral hepatitis because of the risk of additional liver damage.'

Correct Answer: C

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

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