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Jason, a 22 y.o. accident victim, requires an NG tube for feeding. What should you immediately do after inserting an NG tube for liquid enteral feedings?
- A. Aspirate for gastric secretions with a syringe.
- B. Begin feeding slowly to prevent cramping.
- C. Get an X-ray of the tip of the tube within 24 hours.
- D. Clamp off the tube until the feedings begin.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You're developing the plan of care for a patient experiencing dumping syndrome after a Billroth II procedure. Which dietary instructions do you include?
- A. Omit fluids with meals.
- B. Increase carbohydrate intake.
- C. Decrease protein intake.
- D. Decrease fat intake.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Hepatic encephalopathy develops when the blood level of which substance increases?
- A. Ammonia
- B. Amylase
- C. Calcium
- D. Potassium
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After an abdominal resection for colon cancer, Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to:
- A. Irrigate the incision with a saline solution.
- B. Prevent bacterial infection of the incision.
- C. Measure the amount of fluid lost after surgery.
- D. Prevent accumulation of drainage in the wound.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
- A. Formed
- B. Semisolid
- C. Semiliquid
- D. Watery
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An intubated patient is receiving continuous enteral feedings through a Salem sump tube at a rate of 60ml/hr. Gastric residuals have been 30-40ml when monitored Q4H. You check the gastric residual and aspirate 220ml. What is your first response to this finding?
- A. Notify the doctor immediately.
- B. Stop the feeding, and clamp the NG tube.
- C. Discard the 220ml, and clamp the NG tube.
- D. Give a prescribed GI stimulant such as metoclopramide (Reglan).
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.