What suggestions would you have at this point concerning his nutrition? Consider such factors as inactivity, Ca, trace minerals, fluid, and fiber
Two Cal HN is too high in protein and is very concentrated. Now that he has recovered, his fluid requirement is about 1 cc per kcal. He is receiving half of that and no fiber to help with laxation. His inactivity is causing calcium to come out of the bones. Since he is gaining weight, his Harris-Benedict BEE estimation is of little value; he obviously needs fewer kcals. I would therefore look for an enteral formula that is less concentrated, that has less protein, is not high in calcium, and contains fiber.
You might also like to view...
An obese patient comes to the clinic and requests a prescription for diet pills. The nurse should respond with which statement?
a. "Let's begin with a comprehensive diet, exercise, and behavior management program." b. "Drugs are the cornerstone of an effective weight-loss program for people who are obese rather than just overweight." c. "Drugs are indicated only for patients who have no health risks from their obesity." d. "Drugs may produce an excessively rapid weight loss that could be hazardous to your heart."
A client is scheduled for a single-photon emission computed tomography test. Which condition in the client's history causes the nurse to contact the provider before the test takes place?
a. Peptic ulcers b. Smoking history c. Liver failure d. Currently breast feeding
An agency supervisor suggested to a nurse that one strategy useful for working with multiproblem families is to
A. Exchange caseloads with another nurse at periodic intervals to obtain fresh cases and insight. B. Frequently reassure the families that things will be alright eventually. C. Help families recognize how they are responsible for their own problems; offer insights and suggestions that may be useful. D. Recognize that all families have potential for improvement.
A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply
A) The mother carefully washes her breasts prior to feeding the infant. B) The mother feeds the infant every hour. C) The mother supplements feedings with water. D) The mother holds her breast in the "C" position. E) The mother strokes the nipple against the infant's face.