A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?
Hydrolyzed
High-fiber
Low-protein
Low-calorie
The Correct Answer is A
Hydrolyzed formulas are appropriate for clients who have inflammatory bowel disease. Hydrolyzed formulas are composed of partially or fully broken down nutrients that are easier to digest and absorb. They can also reduce inflammation in the intestinal lining, which can help with Crohn's disease symptoms.
High-fiber formulas are not recommended for clients who have inflammatory bowel disease, as they may worsen diarrhea, abdominal pain, and intestinal obstruction.
Low-protein formulas are also not suitable, as they may lead to protein malnutrition and impaired wound healing.
Low-calorie formulas are not indicated, as they may cause weight loss and increased disease activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtain the client's electrolyte levels every 4 hr.While monitoring electrolyte levels is important, obtaining them every 4 hours is excessive for a client who is stable and just starting enteral feedings. Typically, electrolyte levels are monitored based on clinical condition and provider orders.
B. Keep the client's head elevated at 15° during feedings.The client's head should be elevated at least 30 to 45 degrees during enteral feedings to reduce the risk of aspiration and improve gastric emptying. A position of only 15 degrees is insufficient for safety.
C. Measure the client's gastric residual every 12 hr.Gastric residuals should be assessed more frequently, especially in the initial stages of enteral feeding. It is typically recommended to check gastric residuals every 4 to 6 hours to ensure proper gastric emptying and tolerance to the feedings.
D. Flush the client's tube with 30 mL of water every 4 hr.Flushing the tube with water every 4 hours is a standard practice to maintain tube patency, prevent clogging, and ensure that the client receives adequate hydration.
Correct Answer is D
Explanation
When educating the parent about the importance of maintaining water intake to prevent dehydration, recommending foods with high water content can be helpful. Among the options given, broccoli has the highest percentage of water content.
Here's the approximate percentage of water content in each food:
● Cheddar cheese: Cheddar cheese has a low water content, approximately 36%.
● Whole-wheat bread: Whole-wheat bread contains a moderate amount of water, usually around 35-40%.
● Almonds: Almonds have a relatively low water content, approximately 4-6%.
● Broccoli: Broccoli is a vegetable with a high water content, usually around 90-91%.
WATER-RICH FOODS
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