Nursing Elites

1. A nurse is monitoring a client who is receiving continuous enteral feedings. What is a sign of intolerance to the feeding?

• A. Weight gain
• B. Nausea
• C. Constipation
• D. Decreased heart rate

Correct answer: B

Rationale: Nausea is a common sign of intolerance to enteral feedings and should be addressed promptly. Weight gain (Choice A) is not typically a sign of intolerance to enteral feedings but may indicate other health issues. Constipation (Choice C) is not a common sign of feeding intolerance. Decreased heart rate (Choice D) is not typically associated with intolerance to enteral feedings.

2. A client who is postoperative following abdominal surgery is at risk for constipation due to which behavior?

• A. Increased fiber intake
• B. Decreased fluid intake
• C. Frequent urge suppression
• D. Increased physical activity

Correct answer: B

Rationale: Postoperative clients are at risk for constipation due to various factors, including decreased fluid intake. Insufficient fluid consumption can lead to hardening of stools, making them difficult to pass. Increased fiber intake (choice A) is actually beneficial for preventing constipation as it adds bulk to the stool. Frequent urge suppression (choice C) can contribute to constipation by disrupting normal bowel habits. Increased physical activity (choice D) generally helps promote bowel movements and reduce the risk of constipation.

3. A nurse is monitoring a client who is receiving continuous enteral feedings. What finding suggests the client is not tolerating the feeding?

• A. Increased bowel sounds
• B. Nausea
• C. Elevated blood pressure
• D. Fever

Correct answer: B

Rationale: Nausea is a common sign indicating that the client is not tolerating enteral feedings well. It can be a result of various issues such as feeding intolerance, infection, or other underlying conditions. Nausea should be promptly addressed to prevent further complications. Increased bowel sounds (Choice A) are not typically indicative of feeding intolerance. Elevated blood pressure (Choice C) and fever (Choice D) are generally not directly related to enteral feeding intolerance unless there are specific underlying conditions contributing to them.

4. A nurse is caring for a client who has a prescription for a narcotic medication. What should the nurse do with the unused portion after administration?

• A. Store it in the medication cart for later use
• B. Discard it with a witness present
• C. Return it to the pharmacy
• D. Report it to the provider

Correct answer: B

Rationale: The correct action for the nurse to take with the unused portion of a narcotic medication after administration is to discard it with a witness present. This procedure is necessary to comply with controlled substance regulations and prevent diversion or misuse of the medication. Storing it in the medication cart for later use is inappropriate as it can lead to unauthorized access. Returning it to the pharmacy is not recommended as the medication has already been dispensed. Reporting it to the provider is not the standard procedure for disposing of controlled substances.

5. A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. What factor should the nurse identify as contributing to this decrease?

• A. Increased activity level
• B. Bowel inflammation
• C. Long-term use of the medication
• D. History of dehydration

Correct answer: B

Rationale: Bowel inflammation can reduce the absorption of oral medications, leading to decreased effectiveness. In this case, the decrease in the effectiveness of the arthritis medication could be attributed to impaired absorption due to bowel inflammation. Choices A, C, and D are incorrect because increased activity level, long-term use of the medication, and history of dehydration are not directly associated with a decrease in medication effectiveness related to absorption issues.

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