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A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube feeding. Which of the following actions should the nurse take?

a.Provide a low-protein formula.
b.Elevate the head of the bed to 30°.
c.Switch to intermittent feedings.
d.Warm the formula to room temperature.

1 Answer

3 votes

Final answer:

To manage diarrhea while receiving continuous enteral tube feeding, the nurse should switch to intermittent feedings, monitor for dehydration, and possibly adjust the formula's composition. Warming the formula or providing a low-protein formula are not typical interventions for diarrhea.

Step-by-step explanation:

If a client develops diarrhea while receiving a continuous enteral tube feeding, the nurse should consider a few interventions to manage the situation. Elevating the head of the bed to 30° can help prevent aspiration, which is a concern when a patient is experiencing gastrointestinal symptoms, but it does not address the diarrhea directly. However, switching to intermittent feedings may be beneficial as it can help the digestive system handle the influx of nutrients more effectively, and it can prevent the build-up of unabsorbed contents that could exacerbate the diarrhea.

Warming the formula to room temperature might aid in digestion, but it is unlikely to ameliorate the diarrhea. Providing a low-protein formula is not typically indicated for managing diarrhea and could compromise the client's nutritional status. It is also important to monitor fluid and electrolyte balance due to the risk of dehydration from diarrhea. In some cases, adjustment of the formula's composition, such as using one with fiber or reducing the fat content, and ensuring proper formula preparation and administration can help. If diarrhea persists, it may be necessary to consult with a healthcare provider for further evaluation and management, which may include assessing for the need of oral rehydration therapy in cases where dehydration is a concern.

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