Author Question: For a client receiving enteral nutrition, which intervention is the nurse most likely to implement ... (Read 86 times)

bobbie · **on:** Jul 23, 2018

For a client receiving enteral nutrition, which intervention is the nurse most likely to implement to reduce the risk of aspiration?

1. Administering the formula at room temperature
2. Elevating the head of the bed to 30 degrees
3. Administering an antidiarrheal agent
4. Adding fiber to the formula

Question 2

The nurse is instructing a client recovering from a severe burn injury about the importance of enteral nutrition. Which statement by the nurse is most accurate regarding this client's need for nutritional support?

1. This product will maintain adequate hydration.
2. This product is less likely to cause diarrhea.
3. This product is designed for dumping syndrome.
4. This product contains protein to support cell growth and to maintain and repair body tissues.

Tonny · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Administering the formula at room temperature helps to decrease nausea and vomiting.
Rationale 2: The risk of aspiration is increased when a client is supine. Elevating the head of the bed to 30 degrees during continuous feeding, and 30 minutes after a feeding, will decrease the risk of aspiration.
Rationale 3: An antidiarrheal agent is administered to manage diarrhea.
Rationale 4: Fiber is added to reduce diarrhea.
Global Rationale: The risk of aspiration is increased when a client is supine. Elevating the head of the bed to 30 degrees during continuous feeding, and 30 minutes after a feeding, will decrease the risk of aspiration. The other options are useful to reduce nausea or diarrhea.

Answer to Question 2

Correct Answer: 4
Rationale 1: Generally, enteral formulas do not provide adequate water in solution to maintain hydration, and additional free water is needed.
Rationale 2: Diarrhea is a complication of enteral feeding.
Rationale 3: Dumping syndrome is a complication of enteral feeding.
Rationale 4: Clients recovering from burn injuries have increased protein needs associated with repair of body tissues.
Global Rationale: Clients recovering from burn injuries have increased protein needs associated with repair of body tissues. Both diarrhea and dumping syndrome are complications of enteral feeding. Generally, enteral formulas do not provide adequate water in solution to maintain hydration, and additional free water is needed.