A client receives several tube feedings each day. After documenting the client's tolerance of the feedings and assessments in the medical record, the nurse should also document the amount of feeding provided on the
1. graphic sheet.
2. dietary consultation notes.
3. vital signs record.
4. intake and output record.
Correct Answer: 4
Rationale 1: Fluid intake for each feeding is not entered on the graphic sheet. The amount of fluid for a 24-hour period would be documented on this sheet.
Rationale 2: Fluid intake for tube feedings is not documented in the dietary consultation notes.
Rationale 3: Fluid intake for tube feedings is not documented on the vital signs record.
Rationale 4: The amount of fluid as feeding provided to the client should be recorded on the intake and output record.
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