A client had a stroke and is now being tube-fed. An important intervention the nurse should include in the care plan related to fluid and electrolyte balance is to
a. consult with a dietitian about providing sufficient calories.
b. check the sodium concentration of the formula.
c. prevent too-rapid infusion by using a feeding pump.
d. provide 1 ml of water per 1 kilocalorie of formula.
D
Many tube-feeding formulae are hypertonic. In order to prevent dehydration, the nurse must pro-vide water boluses with them. The appropriate amount is 1 ml of water per every 1 kilocalorie of feeding. Consulting with the dietitian is important but not specifically related to fluid and elec-trolyte balance. A feeding pump should be used for continuous feedings; however, many feed-ings are given by boluses.
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