The nurse would anticipate the need for an enteral access device ...

[clippers!]

The nurse would anticipate the need for an enteral access device in which of the following patients?
 
  a. Patient whose bowel sounds have not yet returned after abdominal surgery
  b. Patient who recently suffered a cerebrovascular accident (CVA)
  c. Patient who dislikes the taste of facility meals
  d. Patient who suffers from severe acute dysphagia

Question 2

An expected response from a vaginal instillation is evident when:
 
  A. There is local pruritus
  B. The vaginal walls are bright pink-red in color
  C. White curdlike patches appear on the vaginal walls
  D. A small amount of discharge that is the same color as the medication is noted

[elizabethrperez]

Answer to Question 1

D
A patient who is unable to swallow because of severe acute dysphagia will require an enteral access device to provide adequate nutrition. The patient who suffered a CVA may require an enteral access device if the ability to swallow is affected, but more information would be needed before this option is chosen. A patient whose bowel sounds have not yet returned will remain NPO and may have no need for an enteral access device. Less invasive strategies can be used for the patient who does not like the taste of food provided by the facility.

Answer to Question 2

D
D. Some vaginal discharge that is the same color as the medication is an expected outcome after vaginal instillation.
A. Local pruritus indicates inflammation or infection and is an unexpected outcome.
B and C. Bright pink-red vaginal walls or white curdlike patches are signs of a possible yeast infection.