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6 years ago
The nurse is preparing to administer enteral nutrition to a patient. Which assessment finding would prompt the nurse to hold the nutrition and notify the patient's provider?
 
  a. Blood pressure of 90/60 mm Hg
  b. Decreased bowel sounds
  c. A productive cough
  d. A temperature of 37.8 C
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wrote...
6 years ago
ANS: B
Enteral nutrition requires adequate small bowel function with digestion, absorption, and gastrointestinal motility. The nurse should assess for abdominal distension and a decrease or absence of bowel sounds. Patients may still receive enteral feedings if hypotension, cough, or elevated temperature are present.
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