A client is to receive enteral nutrition. Which information should the nurse provide to the client and family? (SELECT ALL THAT APPLY)
"Enteral nutrition may be used in addition to or instead of oral intake."
"Most enteral nutrition consists of thinned pureed food."
"Enteral nutrition can be given either intermittently or continuously."
"Enteral nutrition is milk based."
"Enteral nutrition can be given through a vein."
Correct Answer : A,C
A. Enteral nutrition can be used when a client is unable to consume adequate nutrition orally or when oral intake is contraindicated. It can be used as a supplement to oral intake or as the sole source of nutrition, depending on the client's condition and nutritional needs.
C. Enteral nutrition can be administered either intermittently, where feedings are given at specific times throughout the day, or continuously, where a steady infusion is delivered over an extended period, typically 16 to 24 hours. The method of administration depends on the client's tolerance, nutritional needs, and clinical condition.
B. Enteral nutrition typically consists of liquid formulas specifically designed to provide complete and balanced nutrition. These formulas come in various formulations, including standard polymeric formulas, high-protein formulas, elemental formulas, and disease-specific formulas. They are not thinned pureed food, which is typically used for clients with dysphagia or swallowing difficulties who are receiving oral feeding.
D. While some enteral nutrition formulas may contain dairy-based ingredients, such as milk protein or lactose, not all enteral formulas are milk-based. There are various types of enteral formulas available, including those that are lactose-free, soy-based, or elemental (containing predigested nutrients), to accommodate different dietary preferences and tolerances.
E. Enteral nutrition is administered directly into the gastrointestinal tract, typically through a feeding tube that is inserted into the stomach or small intestine. It is not given intravenously (through a vein), which would be parenteral nutrition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. As individuals age, there is a natural decline in the amount of deep sleep (slow-wave sleep or Stage N3 sleep) they experience. Older adults tend to spend less time in deep sleep and may experience more fragmented sleep patterns, with more frequent awakenings during the night. This reduction in deep sleep is a normal part of the aging process and is associated with changes in sleep architecture and physiology.
A. Research indicates that a significant portion of the population does not get enough sleep, with many adults experiencing sleep deprivation due to various factors such as lifestyle, work schedules, and sleep disorders.
B. Teenagers often have a natural tendency to stay up later and have difficulty waking up early due to changes in their circadian rhythm during adolescence. This shift in sleep patterns, known as delayed sleep phase syndrome, can result in later bedtimes and waking times for teenagers.
C. Sleep needs typically change over the course of a person's lifetime. Infants and young children require more sleep than adults, with sleep duration gradually decreasing as individuals age.
Additionally, factors such as lifestyle, health status, and environmental influences can affect sleep needs at different stages of life.
Correct Answer is C
Explanation
C. Excessive noise in the hospital environment, including alarms, conversations, and equipment noises, can disrupt sleep and negatively impact sleep quality. Therefore, limiting unnecessary noise on the unit is a crucial nursing intervention for improving sleep quality in the acute care setting. This may involve implementing quiet hours, reducing unnecessary conversations and activities during nighttime hours, and using noise-reducing strategies such as earplugs or white noise machines.
A. While providing a bedtime snack may help alleviate hunger and promote comfort, especially if the client is on a restricted diet or experiencing appetite changes, it may not directly address factors affecting sleep quality. Additionally, consuming food close to bedtime may not be suitable for all patients, especially those with dietary restrictions or certain medical conditions. Therefore, while a bedtime snack may be beneficial in some cases, it may not be the most important intervention for improving sleep quality in the acute care setting.
B. Pulling curtains around the bed can help create a sense of privacy and reduce visual distractions, which may contribute to a more conducive sleep environment. Enhanced privacy can also promote relaxation and feelings of security, potentially improving sleep quality. However, while privacy curtains can mitigate some external disturbances, they may not completely eliminate factors that affect sleep, such as noise or light.
D. Providing a backrub can promote relaxation, relieve tension, and enhance comfort, which may contribute to improved sleep quality for some patients. Massage therapy has been shown to reduce stress and promote relaxation, potentially facilitating better sleep. However, while backrubs can be a beneficial adjunct to promoting relaxation and comfort, they may not address all factors that affect sleep quality in the acute care setting.
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