A client has been receiving tube feeds for the past several days. The client's plan of care identifies the nursing diagnosis Risk for Fluid Imbalance. How should this risk be best mitigated?
A) Ensure the client adheres to the correct fluid restriction while receiving feeds.
B) Use the smallest amount of water necessary to flush the tube after feeds or medications.
C) Administer supplementary water after considering the quantity of feeds and flushes.
D) Aspirate the stomach contents if the client develops peripheral edema.
C
Feedback:
Clients on tube feeds are generally susceptible to dehydration, not fluid volume overload. As such, fluid restrictions and minimal flushes are unnecessary. Stomach contents are not aspirated to maintain fluid balance.
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