The nurse is monitoring the nutritional status of the client ...

[clippers!]

The nurse is monitoring the nutritional status of the client receiving enteral nutrition. The nurse monitors which of the following to determine the effectiveness of the tube feedings for this cli-ent?
 
  1. Daily weight
  2. Calorie count
  3. Serum protein level
  4. Daily intake and output

Question 2

The client is scheduled to receive acetylcysteine (Mucomyst) 20 solution diluted in 0.9 normal saline by nebulizer. Which of the following outcomes would the nurse expect to see as a result of the administration of this medication?
 
  1. Bronchodilation
  2. Decreased coughing
  3. Absence of wheezing
  4. Thinning of respiratory secretions

[Swizqar]

Answer to Question 1

1

Rationale: The most accurate measurement of the effectiveness of nutritional management of the client is through the use of daily weighing. These should be done every day at the same time (preferably early morning), in the same clothes, and using the same scale. Calorie count, serum protein level, and daily intake and output assist in measuring nutrition and hydration status. However, the effectiveness of the diet is measured by maintenance of body weight.

Answer to Question 2

4

Rationale: Acetylcysteine is administered to thin bronchial secretions and is considered a mucolytic. The other three options are the outcomes of respiratory medication therapy, but not of acetylcysteine.