To evaluate stabilization of the nutritional status in a client receiving enteral nutrition, the nurse will:
1. measure abdominal girth.
2. monitor vital signs.
3. monitor daily weights.
4. assess oral intake.
Correct Answer: 3
Rationale 1: Abdominal girth is measured to evaluate abdominal distention.
Rationale 2: Vital signs can be used to evaluate the presence of infection and fluid volume status.
Rationale 3: Daily weights will indicate if the client is losing, maintaining, or increasing body weight.
Rationale 4: Generally, enteral nutrition is employed when oral intake is inadequate, and while oral intake can be monitored, it is not the most reliable parameter to evaluate this client's nutritional status.
Global Rationale: Daily weights will indicate if the client is losing, maintaining, or increasing body weight. Abdominal girth is measured to evaluate abdominal distention. Vital signs can be used to evaluate the presence of infection and fluid volume status. Generally, enteral nutrition is employed when oral intake is inadequate, and while oral intake can be monitored, it is not the most reliable parameter to evaluate this client's nutritional status.
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