Answer to Question 1
Correct Answer: 2
Rationale 1: Administering the formula at room temperature helps to decrease nausea and vomiting.
Rationale 2: The risk of aspiration is increased when a client is supine. Elevating the head of the bed to 30 degrees during continuous feeding, and 30 minutes after a feeding, will decrease the risk of aspiration.
Rationale 3: An antidiarrheal agent is administered to manage diarrhea.
Rationale 4: Fiber is added to reduce diarrhea.
Global Rationale: The risk of aspiration is increased when a client is supine. Elevating the head of the bed to 30 degrees during continuous feeding, and 30 minutes after a feeding, will decrease the risk of aspiration. The other options are useful to reduce nausea or diarrhea.
Answer to Question 2
Correct Answer: 4
Rationale 1: Generally, enteral formulas do not provide adequate water in solution to maintain hydration, and additional free water is needed.
Rationale 2: Diarrhea is a complication of enteral feeding.
Rationale 3: Dumping syndrome is a complication of enteral feeding.
Rationale 4: Clients recovering from burn injuries have increased protein needs associated with repair of body tissues.
Global Rationale: Clients recovering from burn injuries have increased protein needs associated with repair of body tissues. Both diarrhea and dumping syndrome are complications of enteral feeding. Generally, enteral formulas do not provide adequate water in solution to maintain hydration, and additional free water is needed.
In the communication technique of collaborating, the nurse sends the message that the nurse and pati
A nurse adjusts the rate of a client’s IV.
Continuous positive airway pressure (CPAP) device. The sleeping subject is receiving the benefits of
Using small, circular strokes, exfoliate the client’s neck and back.
Mitigation or adaptation, or intervention
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