A patient receiving tube feedings is experiencing diarrhea. The nurse and the physician suspect that the patient is experiencing dumping syndrome. What intervention is most appropriate?
A) Stop the tube feed and aspirate stomach contents.
B) Increase the hourly feed rate so it finishes earlier.
C) Dilute the concentration of the feeding solution.
D) Administer fluid replacement by IV.
Ans: C
Feedback:
Dumping syndrome can generally be alleviated by starting with a dilute solution and then increasing the concentration of the solution over several days. Fluid replacement may be necessary but does not prevent or treat dumping syndrome. There is no need to aspirate stomach contents. Increasing the rate will exacerbate the problem.
You might also like to view...
The nurse is caring for a client who has dangerously elevated blood pressure and refuses to take the prescribed medication that could reduce the risk for stroke. The MOST appropriate response by the nurse is to:
a. urge the client to consider the medication's benefits b. inform the client that he or she must take it as it is prescribed by the physician c. accept the client's decision to refuse treatment d. inform the client that he or she will be asked to leave the hospital
A patient tells the nurse that since taking a medication he has suffered from excessively dry mouth. Which of the following assessments would be needed in order to plan interventions for that symptom?
1) Asking the patient if foods taste different now 2) Checking the patient's sense of smell 3) Having the patient stand to check for balance 4) Assessing for a history of seizures
The preoccupation with the self and inner experiences, which often incorporates an inner fantasy world, is known as:
a. anhedonia. b. autism. c. confabulation. d. delusion.
When forming a group that is focused on individual health changes, which of the following is considered a good group size?
a. 1 to 7 b. 8 to 12 c. 13 to 20 d. Greater than 20