A client has been receiving tube feeds for the past several days. ...

[nramada]

A client has been receiving tube feeds for the past several days. The client's plan of care identifies the nursing diagnosis Risk for Fluid Imbalance. How should this risk be best mitigated?
 
  A) Ensure the client adheres to the correct fluid restriction while receiving feeds.
  B) Use the smallest amount of water necessary to flush the tube after feeds or medications.
  C) Administer supplementary water after considering the quantity of feeds and flushes.
  D) Aspirate the stomach contents if the client develops peripheral edema.

Question 2

A physician is examining the client during the client's initial physical examination. After collecting all the data, the physician writes R/O in the medical records and suggests some more tests and examinations. What does the physician mean by R/O?
 
  A) Rule out
  B) Revise order
  C) Record out
  D) Refill out

[ktidd]

Answer to Question 1

C
Feedback:
Clients on tube feeds are generally susceptible to dehydration, not fluid volume overload. As such, fluid restrictions and minimal flushes are unnecessary. Stomach contents are not aspirated to maintain fluid balance.

Answer to Question 2

A
Feedback:
If the physician is unsure of the actual medical diagnosis, the physician uses the term rule out, or the abbreviation R/O, to indicate that a condition is suspected, but additional diagnostic data must be obtained before confirmation. R/O does not mean revise order, record out, or refill out.