The nurse is discussing enteral and parenteral nutrition with a ...

[tiffannnnyyyyyy]

The nurse is discussing enteral and parenteral nutrition with a class of graduate nurses. They are asked to devise an appropriate feeding schedule for a client on gastric enteral nutrition.
 
  Which of the following would be expected to be seen on their feeding schedule? A) Start feeding at 10 to 40 mL/hour and advance by 10 to 20 mL/hour every 3 to 12 hours until the maximum rate of 125 mL/hour is reached.
  B) Start feeding at 10 to 25 mL/hour and advance by 5 to 15 mL/hour every 4 to 8 hours until the maximum rate of 125 mL/hour is reached.
  C) Start feeding at 50 to 75 mL/hour and advance by 10 to 25 mL/hour every 4 to 8 hours until the maximum rate of 150 mL/hour is reached.
  D) Start feeding at 50 to 75 mL/hour and advance by 5 to 15 mL/hour every 12 to 24 hours until the maximum rate of 175 mL/hour is reached.

Question 2

During a preoperative assessment, Mrs. D tells the nurse that she takes several all natural nutritional supplements. The best response the nurse can make is:
 
  1. Even all natural dietary supplements may interact with anesthesia, medications, or alter blood clotting.
   2. Since the dietary supplements are all natural there should not be a problem.
   3. Mrs. D should not take the supplements the day of surgery, but can resume when she feels better following surgery.
   4. She should be sure to discuss this with the anesthesiologist the day of surgery.

[jamesnevil303]

Answer to Question 1

A
Feedback:
Regardless of the type of formula used, the initial rate may begin at 10 to 40 mL/hour and advance by 10 to 20 mL/hour every 8 to 12 hours as tolerated. The goal rate of 125 mL/hour should be achieved within 24 to 36 hours.

Answer to Question 2

1
Rationale: Even all-natural dietary supplements can interact with anesthesia, medications, and alter blood clotting. Because of this, these supplements should be carefully checked by a medical provider or pharmacist to be sure they are safe for everyday use. These supplements should be stopped at least one week prior to surgery to allow clearance from the bloodstream and to avoid possible complications. Waiting to determine if a nutritional supplement can cause a risk for surgical outcomes or complications could be dangerous and this should be determined in advance of the surgery.

[tiffannnnyyyyyy]

Excellent

[irishcancer18]

TYSM