Home » NCLEX » NCLEX-PN » A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
A. measure intake and output.
B. check albumin level.
C. monitor glucose levels.
D. increase enteral feeding.
Correct Answer: A
Explanation/Reference:
Explanation:
It is important to measure intake (I) and output (O), which should be approximately equal.
Enteral feedings are hyperosmotic agents pulling fluid from cells into the vascular bed. Water given before feeding presents a hyperosmotic diuresis. I and O measures assess fluid balance.Basic Care and Comfort
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