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A patient is receiving continuous enteral nutrition through a small-bore silicone feeding tube. What should the nurse plan for when this patient has a computed tomography (CT) scan ordered?
- A. Ask the health care provider to reschedule the scan.
- B. Shut the feeding off 30 to 60 minutes before the scan.
- C. Connect the feeding tube to continuous suction before and during the scan.
- D. Send a suction catheter with the patient in case of aspiration during the scan.
Correct Answer: B
Rationale: Rationale:
- Correct Answer (B): Shutting off the feeding 30-60 mins before the CT scan reduces the risk of aspiration or vomiting during the procedure, minimizing potential complications.
- Incorrect Answer (A): Rescheduling the scan is not necessary if feeding is temporarily stopped before the procedure.
- Incorrect Answer (C): Connecting the feeding tube to continuous suction is unnecessary and may lead to dehydration or electrolyte imbalances.
- Incorrect Answer (D): Sending a suction catheter with the patient is not a standard practice for CT scans; aspiration risk can be minimized by stopping the feeding temporarily.
You may also like to solve these questions
The salivary gland that produces primarily mucus is the ______ salivary gland.
- A. parotid
- B. labial
- C. submandibular
- D. sublingual
Correct Answer: D
Rationale: The correct answer is D: sublingual gland. This gland primarily produces mucus, aiding in lubrication and initial digestion. The sublingual gland is located under the tongue. A: The parotid gland primarily produces serous saliva. B: Labial glands are minor salivary glands located in the lips, producing mixed saliva. C: Submandibular gland produces a mixture of serous and mucous saliva.
Following a laparoscopic cholecystectomy, what should the nurse expect to be part of the plan of care?
- A. Return to work in 2 to 3 weeks
- B. Be hospitalized for 3 to 5 days postoperatively
- C. Have a T-tube placed in the common bile duct to provide bile drainage
- D. Have up to four small abdominal incisions covered with small dressings
Correct Answer: D
Rationale: The correct answer is D. After a laparoscopic cholecystectomy, the patient typically has up to four small abdominal incisions that are covered with small dressings. This is because laparoscopic cholecystectomy is a minimally invasive procedure involving small incisions, which do not require extensive wound care. The incisions are small and usually heal well with minimal scarring.
Explanation for why other choices are incorrect:
A: Return to work in 2 to 3 weeks - This is not part of the immediate postoperative plan of care. Patients may need more time to recover before returning to work.
B: Be hospitalized for 3 to 5 days postoperatively - Patients undergoing laparoscopic cholecystectomy typically have a shorter hospital stay, usually 1 to 2 days, not 3 to 5 days.
C: Have a T-tube placed in the common bile duct to provide bile drainage - This is not typically done after a laparoscopic
You would be most concerned about which client having an order for TPN (total parenteral nutrition) fat emulsion?
- A. A client with gastrointestinal obstruction
- B. A client with severe anorexia nervosa
- C. A client with chronic diarrhea and vomiting
- D. A client with a fractured femur
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. TPN fat emulsion can increase the risk of fat embolism in clients with fractures.
2. Fat embolism is a serious complication in clients with long bone fractures, like a fractured femur.
3. Clients with gastrointestinal issues, anorexia nervosa, chronic diarrhea, or vomiting are not at increased risk for fat embolism.
4. Monitoring for signs of fat embolism is crucial in clients receiving TPN fat emulsion to prevent complications.
Which of the following is true regarding the small intestine?
- A. It produces digestive enzymes
- B. It absorbs nutrients
- C. It produces bile
- D. It stores waste
Correct Answer: B
Rationale: The correct answer is B because the small intestine is primarily responsible for absorbing nutrients from digested food. It has specialized structures like villi to maximize nutrient absorption. Choice A is incorrect as the pancreas and other organs produce digestive enzymes. Choice C is incorrect as the liver produces bile. Choice D is incorrect as waste is stored in the large intestine, not the small intestine.
Why should a nurse instruct a client with an ileostomy to avoid enteric-coated products?
- A. The coating prevents the absorption of the product.
- B. The coating adversely affects ileostomy.
- C. The coating affects the absorption of vitamins.
- D. The coating causes particularly strong odors.
Correct Answer: A
Rationale: The correct answer is A because enteric-coated products are designed to bypass the stomach and dissolve in the small intestine, where absorption of medications occurs. Since an ileostomy bypasses the large intestine, the medication in enteric-coated products may not be fully absorbed, leading to reduced effectiveness. Choices B, C, and D are incorrect because they do not directly relate to the specific issue of absorption in the context of an ileostomy.