A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has 6 diarrhea stools the first day. Which action should the nurse plan to take?
a. Slow the infusion rate of the tube feeding.
b. Check gastric residual volumes more frequently.
c. Change the enteral feeding system and formula every 8 hours.
d. Discontinue administration of water through the feeding tube.
b. Check the residual volume more frequently
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A patient with iron deficiency anemia has begun taking daily supplements of oral ferrous sulfate. The nurse who is planning this patient's care should add what nursing diagnosis to the nursing care plan?
A) Risk for excess fluid volume related to use of iron supplements B) Risk for unstable blood glucose related to use of iron supplements C) Risk for constipation related to use of iron supplements D) Risk for peripheral neurovascular dysfunction related to use of iron supplements
The nurse receives a phone call from a clinic patient who experienced fever and slight dyspnea several hours after receiving the pneumococcus vaccine. What is the nurse's most appropriate action?
A) Instruct the patient to call 911. B) Inform the patient that this is an expected response to vaccination. C) Encourage the patient to take NSAIDs until symptoms are relieved. D) Ensure that the adverse reaction is reported.
The adult children of an older adult client report they are becoming frustrated. They relate they are trying to get their parent to "take it easy"; stop working and reduce social activities
When questioned by the nurse, they report feeling this lessened stress will protect their loved one. Which of the following statements should be included in the nurses responses? Standard Text: Select all that apply. 1. "Keeping busy will assist your parent to remain productive." 2. "Older adults who lack intellectual challenges may demonstrate cognitive declines." 3. "Your plans will increase your parent's quality of life." 4. "Retirement will promote rest and relaxation for your parent." 5. "It is important for older adults to have opportunities to develop and maintain friendships."
The doctor ordered a bed cradle for a resident. The bed cradle:
a. Keeps top linens off the feet b. Keeps the mattress from sagging c. Is a more comfortable bed d. Keeps the hips abducted