The nurse has been caring for a client on the unit for the past week. The client had a ruptured appendix and developed peritonitis
The client had a PEG tube inserted for enteral nutrition (EN); however, the client is not recovering well and the health care team has been discussing switching to parenteral nutrition (PN). Which of the following would be the best indicator to switch from EN to PN? A) Paralytic ileus due to peritonitis
B) Decreased costs for formula
C) Easier to give medications via PN tube
D) Decreased risk of further infection
A
Feedback:
EN requires at least a partially functioning intestine. It is contraindicated when the GI tract is nonfunctional as with paralytic ileus. PN costs more, medications cannot be put into the central line, and there is an increased risk for infections.
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