The nurse anticipates that the plan for a client with ...

[Collmarie]

The nurse anticipates that the plan for a client with insufficient weight gain will include:
 
  1. Changing to a bolus feeding schedule.
  2. Decreasing the protein content of the formula.
  3. Providing free water to dilute a hypertonic formula.
  4. Increasing the delivery rate of the enteral formula.

Question 2

To evaluate stabilization of the nutritional status in a client receiving enteral nutrition, the nurse will:
 
  1. measure abdominal girth.
  2. monitor vital signs.
  3. monitor daily weights.
  4. assess oral intake.

[aprice35067]

Answer to Question 1

Correct Answer: 4
Rationale 1: Bolus feeding is a delivery method. To increase caloric intake, the amount of formula or type of formula will need to be modified.
Rationale 2: Decreasing the protein content of the formula will reduce its nutritional value. Typically, a restricted protein formula is used in clients with impaired renal function.
Rationale 3: Free water is used to dilute hypertonic solution, but it will not increase caloric intake.
Rationale 4: Increasing the delivery rate will provide additional calories.
Global Rationale: Increasing the delivery rate will provide additional calories. Bolus feeding is a delivery method. To increase caloric intake, the amount of formula or type of formula will need to be modified. Decreasing the protein content of the formula will reduce its nutritional value. Typically, a restricted protein formula is used in clients with impaired renal function. Free water is used to dilute hypertonic solution, but it will not increase caloric intake.

Answer to Question 2

Correct Answer: 3
Rationale 1: Abdominal girth is measured to evaluate abdominal distention.
Rationale 2: Vital signs can be used to evaluate the presence of infection and fluid volume status.
Rationale 3: Daily weights will indicate if the client is losing, maintaining, or increasing body weight.
Rationale 4: Generally, enteral nutrition is employed when oral intake is inadequate, and while oral intake can be monitored, it is not the most reliable parameter to evaluate this client's nutritional status.
Global Rationale: Daily weights will indicate if the client is losing, maintaining, or increasing body weight. Abdominal girth is measured to evaluate abdominal distention. Vital signs can be used to evaluate the presence of infection and fluid volume status. Generally, enteral nutrition is employed when oral intake is inadequate, and while oral intake can be monitored, it is not the most reliable parameter to evaluate this client's nutritional status.

[Collmarie]

Excellent

[miss.ashley]

TYSM