A patient receiving enteral nutrition develops repeated abdominal distension, cramping and watery stools. Which action should the nurse take first?

Correct answer: B. Assess the patient and review the feeding prescription

  • A. Increase the feeding rate
  • B. Assess the patient and review the feeding prescription
  • C. Add concentrated protein powder without an order
  • D. Place the patient flat and continue feeding

Explanation

The nurse should assess the patient, check the tube and review the prescribed formula and rate before changing treatment. Increasing the rate or adding unprescribed substances may worsen intolerance, and lying flat increases aspiration risk.

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About Nutrition, Fluids and Electrolytes

Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.

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