To determine the nutritional adequacy of a tube feeding
a. the patient's actual formula intake and body weight should be recorded daily.
b. intake and output records should be com-pleted during each nursing shift.
c. urine glucose levels, gastric residuals, and bowel movements should be recorded.
d. anthropometric, biochemical, and clinical indexes should be assessed weekly.
D
To determine nutritional adequacy of enteral or any other feedings, anthropometric, biochemical, and clinical indexes should be measured weekly. This shows how feedings are affecting the pa-tient's weight and nutritional status. Daily recording of weight can help assess fluid shifts and may give some indication of kcal adequacy over time. Measurement of actual formula intake, use of intake and output records, assessment of urinary glucose level, measurement of gastric resi-duals, and records of bowel movements may help evaluate formula tolerance and ensure that the patient is receiving the prescribed amount of formula but will not demonstrate adequacy.
You might also like to view...
A school nurse is conducting scoliosis screening. In screening the client, what technique is most appropriate?
a. Bending forward from the hips b. Sitting upright with arms outstretched c. Walking across the room and back d. Walking with both eyes closed
A group of student nurses were discussing how to promote resilience in their patients and realized that it is a concept they also want to promote in themselves. How might student nurses foster their own resilience?
1. By avoiding challenges 2. By using reflection 3. Through self-reliance 4. Through expecting the worst
Of the religious groups living in America, which groups are the most likely to be married, and to be married to someone of the same religion? Select all that apply
a. Hindus d. Mormons b. Muslims e. Catholics c. Buddhists f. Protestants
A client with manic behavior was admitted to the unit this morning. The client is pacing the floor and has pressured speech showing flight of ideas
This client has a delusion that she has been canonized as a saint and is openly angry at all the "sinners" on the ward. The nurse assesses this client as high risk for assaulting behavior. Which of the following stages of mania represents this client's current state? a. stage I b. stage II c. stage III d. stage IV