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    Ati nur 112 fundamentals ngn proctored quiz

    A nurse is caring for a client who is receiving continuous enteral feedings. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown .

    Explanation & Rationale

    Rationale for Correct Answer: Dehydration: The client has had 4 loose stools within 6 hours, which leads to excessive fluid loss. Despite a normal gastric residual and patent G-tube, the presence of fever, chills, and diaphoretic skin further supports fluid depletion. Hyperactive bowel sounds and flushed skin are also consistent with volume loss due to gastrointestinal losses. Rationale for Incorrect Answers: Infection: Although the client has a mild fever and chills, the skin around the G-tube is clean and intact with no localized signs of infection. Lungs are clear, and there is no report of purulent drainage or abnormal WBCs to support active infection. Tube displacement: The G-tube is documented as patent with low gastric residuals and no discomfort or signs of misplacement, making displacement unlikely. Absent gag reflex: There is no documentation suggesting swallowing issues, aspiration risk, or neurological impairment. The client is alert and oriented, suggesting intact protective reflexes. Fluid overload: The client shows no signs of fluid retention like crackles in lungs, edema, or hypertension beyond mild systolic elevation. The presence of diarrhea and diaphoretic skin suggests fluid loss rather than overload.

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