A patient is receiving enteral feedings and has just vomited 250 mL of milky green liquid. The nurse holds the tube feeding, which had been infusing at 100 mL/hr. The nurse knows that the next action should be:
a. connect the feeding tube to suction.
b. continue the tube feeding.
c. decrease the tube feeding.
d. recheck the residual in 2 hours.
D
The patient is not tolerating the tube feeding. It should be held until he has absorbed the remaining tube feeding. Feedings may resume when residuals are less than 250 mL.
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When a child's parent demonstrates the proper administration of medication to the child, learning has occurred in which domain?
a. affective c. reflective b. cognitive d. psychomotor
A 12-year-old male patient diagnosed with hypogonadism will begin testosterone injections. What will the nurse include when teaching the family about this therapy?
a. Annual x-rays of the hands and wrists are necessary to monitor epiphyseal closure. b. Gynecomastia may occur and is a common side effect. c. Injections are given every 2 to 4 weeks for 3 to 4 years. d. Use of this drug may lead to prostate can-cer later in life.
The mother of a 14-month-old child is concerned because the child's appetite has decreased. The best response for the nurse to make to the mother is:
a. "It is important for your toddler to eat three meals a day and nothing in between.". b. "It is not unusual for toddlers to eat less.". c. "Be sure to increase your child's milk con-sumption, which will improve nutrition.". d. "Giving your child a multivitamin supplement daily will increase your toddler's appetite.".
Orlistat (Alli) is initiated for a client with obesity who is taking warfarin. What health teaching would be most appropriate for this drug?
1. If you overeat, you may take more medication to counteract your indulgence. 2. You may resume your normal dietary habits while taking this drug. 3. You will need to closely monitor prothrombin time (PT) and international normalized ratio (INR). 4. Take the medication each evening 2 hours before taking warfarin.