The nurse is monitoring the nutritional status of the client receiving enteral nutrition. The nurse monitors which of the following to determine the effectiveness of the tube feedings for this cli-ent?
1. Daily weight
2. Calorie count
3. Serum protein level
4. Daily intake and output
1
Rationale: The most accurate measurement of the effectiveness of nutritional management of the client is through the use of daily weighing. These should be done every day at the same time (preferably early morning), in the same clothes, and using the same scale. "Calorie count," "serum protein level," and "daily intake and output" assist in measuring nutrition and hydration status. However, the effectiveness of the diet is measured by maintenance of body weight.
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The nurse is caring for an African American patient who has an ashen cast to his normally black skin. Which laboratory test results should the nurse review to determine a possible cause of the skin color change?
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The patient reports intense pain and rates it 10/10. He is talking and laughing on the telephone but interrupts his conversion to request pain medication
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