Author Question: The nurse is aware that there will be times when enteral nutrition (EN) will not be feasible to use ... (Read 19 times)

storky111 · **on:** Aug 2, 2018

The nurse is aware that there will be times when enteral nutrition (EN) will not be feasible to use with a critically ill client. Which of the following are indications to use parenteral nutrition (PN)? Select all that apply.

A) For 3 to 4 days preoperatively for clients expected to undergo major reconstructive surgery
B) On the 8th hospital day in a well-nourished client who has received nutrition
C) As soon as possible in malnourished clients
D) PN should be initiated only if the anticipated length of therapy is 4 days or more.

Question 2

Ms. I is a 40-year-old client who took two doses of Chitosan but each time vomited. Her friend said it had helped her to lose weight, and that she had not had any side effects. Before taking any more, Ms I wanted to discuss it with her provider.

The nurse informed her that some dietary supplements can have toxic side effects because of the ingredients. An example of this is Chitosan, which contains: 1. Shellfish.
2. Sodium.
3. Bee pollen.
4. Gluten.

huda · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

B, C
Feedback:
When EN is not feasible or available, PN should be considered: only after 7 days of hospitalization in a previously well-nourished client who has not received any nutrition therapy, as soon as possible after admission in malnourished clients, for 5 to 7 days preoperatively in malnourished clients expected to undergo major upper gastrointestinal surgery, and PN should only be initiated if the anticipated length of PN therapy is 7 days or more.

Answer to Question 2

1
Rationale: Some ingredients in dietary supplements can cause allergic or anaphylactic reactions if clients are unaware of their contents. Chitosan is sold to promote weight loss but is made from shellfish and should be avoided by clients with that allergy.