The nurse anticipates that the plan for a client with insufficient weight gain will include:
1. Changing to a bolus feeding schedule.
2. Decreasing the protein content of the formula.
3. Providing free water to dilute a hypertonic formula.
4. Increasing the delivery rate of the enteral formula.
Correct Answer: 4
Rationale 1: Bolus feeding is a delivery method. To increase caloric intake, the amount of formula or type of formula will need to be modified.
Rationale 2: Decreasing the protein content of the formula will reduce its nutritional value. Typically, a restricted protein formula is used in clients with impaired renal function.
Rationale 3: Free water is used to dilute hypertonic solution, but it will not increase caloric intake.
Rationale 4: Increasing the delivery rate will provide additional calories.
Global Rationale: Increasing the delivery rate will provide additional calories. Bolus feeding is a delivery method. To increase caloric intake, the amount of formula or type of formula will need to be modified. Decreasing the protein content of the formula will reduce its nutritional value. Typically, a restricted protein formula is used in clients with impaired renal function. Free water is used to dilute hypertonic solution, but it will not increase caloric intake.
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