A patient is extremely hyperactive, distractible, and rarely sleeps. The patient eats little, resulting in a loss of 6 pounds since admission 3 days ago. Which measure is a priority when developing a plan for the patient's care?
a. Require that the patient remain in the dining room for at least 15 minutes per meal.
b. Offer high-calorie "portable" finger foods and nutritionally fortified fluids hourly.
c. Document all food and fluid intake.
d. Weigh the patient daily.
B
Remaining in the dining room does not ensure adequate intake. The patient may argue rather than eat. Providing calorie-dense foods that can be eaten or drunk "on the run" is a better strategy. Recording food and fluid intake and daily weights is appropriate for evaluation purposes.
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