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Author Question: To determine the nutritional adequacy of a tube feeding a. the patient's actual formula intake ... (Read 104 times)

lunatika

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on: Aug 2, 2018
To determine the nutritional adequacy of a tube feeding
 
  a. the patient's actual formula intake and body weight should be recorded daily.
  b. intake and output records should be com-pleted during each nursing shift.
  c. urine glucose levels, gastric residuals, and bowel movements should be recorded.
  d. anthropometric, biochemical, and clinical indexes should be assessed weekly.

Question 2

Protein restriction is not routinely recommended during the post-operative period following a kidney transplant because:
 
  1. Restriction can result in protein catabolism.
   2. The client should follow his regular diet.
   3. A change in diet may discourage the client from eating.
   4. A high-protein, low-carbohydrate diet is recommended.


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LP

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Reply #1 on: Aug 2, 2018
Answer to Question 1

D
To determine nutritional adequacy of enteral or any other feedings, anthropometric, biochemical, and clinical indexes should be measured weekly. This shows how feedings are affecting the pa-tient's weight and nutritional status. Daily recording of weight can help assess fluid shifts and may give some indication of kcal adequacy over time. Measurement of actual formula intake, use of intake and output records, assessment of urinary glucose level, measurement of gastric resi-duals, and records of bowel movements may help evaluate formula tolerance and ensure that the patient is receiving the prescribed amount of formula but will not demonstrate adequacy.

Answer to Question 2

1

Rationale: The physiological stress of surgery and the additional nutritional needs to promote healing result in an increased need for kcalories and protein following kidney transplantation. There is a high prevalence of malnutrition among clients with advanced kidney disease, and efforts should be made to promote healthy eating and a balanced diet that includes adequate amounts of carbohydrates, proteins, vitamins, minerals, and fats even if this is a change from the usual diet.


lunatika

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Reply #2 on: Aug 2, 2018
Both answers were spot on, thank you once again


LP

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Reply #3 on: Aug 2, 2018
Great! Please up vote :D


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