This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The patient has just been started on an enteral feeding and has developed diarrhea after being on ... (Read 54 times)

Anajune7

  • Hero Member
  • *****
  • Posts: 574
on: Jul 22, 2018
The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?
 
  a. Antibiotic therapy
  b. Clostridium difficile
  c. Formula intolerance
  d. Bacterial contamination

Question 2

The patient is having at least 75 of nutritional needs met by enteral feeding, so the health care provider has ordered the parenteral nutrition (PN) to be discontinued. However, the nurse notices that the PN infusion has fallen behind.
 
  What should the nurse do?
  a. Increase the rate to get the volume caught up before discontinuing.
  b. Stop the infusion as ordered.
  c. Taper infusion gradually.
  d. Hang 5 dextrose.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

raenoj

  • Sr. Member
  • ****
  • Posts: 340
Reply #1 on: Jul 22, 2018
Answer to Question 1

ANS: C
Hyperosmolar formulas can cause diarrhea or formula intolerance. 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 (more than 2 hours), and no indication suggests that this patient is on antibiotics. Bacterial contamination of the feeding usually occurs when feedings are left hanging for longer than 8 hours.

Answer to Question 2

ANS: C
Sudden discontinuation of PN can cause hypoglycemia. PN must be tapered off. Usually, 10 dextrose is infused when PN solution is suddenly discontinued. Too rapid administration of hypertonic dextrose (PN) can result in an osmotic diuresis and dehydration. If an infusion falls behind schedule, the nurse should not increase the rate in an attempt to catch up.


Anajune7

  • Member
  • Posts: 574
Reply 2 on: Jul 22, 2018
Great answer, keep it coming :)

ricroger

  • Member
  • Posts: 352
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

According to the CDC, approximately 31.7% of the U.S. population has high low-density lipoprotein (LDL) or "bad cholesterol" levels.

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

Green tea is able to stop the scent of garlic or onion from causing bad breath.

Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
Reputable Websites for Patient Education Reputable Websites for Patient Education
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
(a) A photograph of a radial immunodiffusion reaction for measurement of patient IgA concentrations. ... (a) A photograph of a radial immunodiffusion reaction for measurement of patient IgA concentrations. ...
More and Less Developed Countries More and Less Developed Countries
Video: Anaphylaxis Animation

For a complete list of videos, visit our video library