Author Question: The nurse knows that the client receiving enteral feedings is at risk for diarrhea. One of the ... (Read 34 times)

humphriesbr@me.com · **on:** Jul 23, 2018

The nurse knows that the client receiving enteral feedings is at risk for diarrhea. One of the measures that the nurse can take to minimize the risk for diarrhea in this client is:

1. Making sure to chill the canned feeding before administering
2. Using strict sanitation when administering the formula
3. Not deviating from the prescribed rate of delivery for the formula
4. Not diluting or changing the strength of the prescribed formula

Question 2

Upon auscultation of the client's abdomen, the nurse hears hyperactive bowel sounds (greater than 35 per minute). The nurse knows that this can indicate which of the following?

1. Paralytic ileus
2. Fecal impaction
3. Small intestine obstruction
4. Abdominal tumor

Benayers · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2
Interventions to prevent diarrhea include the following: administer canned formulas at room temperature, follow strict sanitation when preparing the formula, increase the rate slowly, admin-ister the volume at a rate tolerable to your client, or if using a hypertonic solution, give the initial feeding at half strength and gradually increase the volume to allow the client to adjust to a hy-pertonic solution. Consult a dietitian when diarrhea occurs.

Answer to Question 2

ANS: 3
Absent (no auscultated bowel sounds) or hypoactive sounds (less than five sounds per minute) occur with paralytic ileus, such as after abdominal surgery. High-pitched and hyperactive bowel sounds (35 or more sounds per minute) occur with small intestine obstruction and inflammatory disorders.