Nutrition · practice question

A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to dysphagia and aspiration risk. Assessment data include the client receives enteral feeding and develops abdominal distention with nausea. Which finding requires the nurse to intervene immediately?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nutrition

The new finding that receives enteral feeding and develops abdominal distention with nausea.Routine data unchanged from the prior assessment.A comfort request with unchanged vital signs and no new symptoms.A stable, long-standing finding that matches the expected care plan.

Answer and explanation

Correct answer

A. The new finding that receives enteral feeding and develops abdominal distention with nausea.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to dysphagia and aspiration risk. Assessment data include the client receives enteral feeding and develops abdominal distention with nausea. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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