After receiving a tube feeding, a nurse assesses the patient to be sweaty with abdominal distention and diarrhea. What is the most likely cause of this response?
a. Expected reaction to the tube feeding
b. Dumping syndrome
c. Gastric reflux syndrome
d. Onset of gastroenteritis
B
Dumping syndrome is caused by infusing a tube feeding too fast or infusing a tube feeding that is too rich a formula.
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Falls are a major health problem in the elderly population and occur from multifactorial causes. What is a factor in the rate of falls in the elderly population? (Mark all that apply.)
A) Medication effects B) Overdependence on assistive devices C) Poor lighting D) Sensory impairment E) Ineffective use of coping strategies
A client is suspected of having a reaction to an antigen. Which lab test would alert the nurse regarding the possibility of a hypersensitivity reaction?
1. Eosinophils of 2% of the total WBC 2. Indirect Coombs' showing no agglutination 3. Patch test with a one-inch area of erythema 1. Rh antigen with negative results
Which is an appropriate action when an infant becomes apneic?
a. Shake vigorously. b. Roll head side to side. c. Hold by feet upside down with head supported. d. Gently stimulate trunk by patting or rubbing.
A patient takes digoxin (Lanoxin) for heart failure with atrial fibrillation. The patient reports yellow vision and nause
a. The patient's digoxin level is 1.9 ng/mL. How does the nurse explain the situation to the patient? a. "Even with a normal blood level you may have digoxin toxicity." b. "You may have a gastrointestinal virus that is causing these symptoms." c. "You may not be getting a high enough dose of digoxin; I'll call the doctor." d. "Your cataracts may be worsening and you may need to have them removed."