The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. The most likely cause of the diarrhea would be
a. Clostridium difficile.
b. Antibiotic therapy.
c. Formula intolerance.
d. Bacterial contamination.
ANS: C
Hyperosmolar formulas can cause diarrhea. If that is the case, the solution is to lower the rate, dilute the formula, or change to an isotonic formula. Antibiotics destroy normal intestinal flora and disturb the internal ecology, allowing for Clostridium difficile toxin buildup. However, this takes time, and no indication suggests that this patient was on antibiotics. Proximity to the start of the enteral feedings is more suspicious. Bacterial contamination of the feeding usually occurs when feedings are left hanging for longer than 8 hours.
You might also like to view...
A nurse is unsure in which graduate nursing program to enroll. A colleague recommends the nurse consider a program for which there is a great demand. Which of the following would apply to this demand?
1. Nurse administrators 2. Community health nurse 3. Nursing education 4. School nurse
It is important for nurses to develop the skill of ____________________ so that they will have the ability to understand the research process and then be able to sift through and carefully as-sesses all available and credible research findings
Fill in the blank(s) with correct word
A nurse is conducting an admission assessment on a confused patient brought in by his son. Which of the following would be included in primary sources for information. Select all that apply.
A. physical assessment B. Health history per the patient's son C. Clinical notes in the computer system from a past admission. D. Patient's report of physical symptoms
The charge nurse is preparing assignments when one of the staff nurses requests not to be assigned a specific patient, using a derogatory name to refer to the patient's ethnicity. What is the charge nurse's best response?
1. Encourage the nurse to embrace diversity and reject prejudice. 2. Report the nurse to human resources for demonstrating prejudicial behavior. 3. Assign the patient to a different nurse and make a note not to ever assign this patient to this nurse. 4. Schedule a staff meeting to talk to the entire staff about avoiding prejudice.