Final answer:
To determine the effectiveness of enteral nutrition, monitoring serum albumin levels is a relevant and direct measure of the patient's nutritional status. It gives a comprehensive understanding of nutritional wellbeing over time, although multiple factors are generally considered.
Step-by-step explanation:
The nurse monitoring the nutritional status of a client receiving enteral nutrition should implement several interventions to determine the effectiveness of the tube feedings. Among the options provided, monitoring serum albumin levels is a relevant intervention. Serum albumin levels are indicative of the patient's nutritional status over time, as albumin is a protein made by the liver, and its levels can reflect chronic nutritional intake. Measuring daily urine output can provide information about the client's fluid balance but not directly about nutritional status. Weighing the client weekly can indicate changes in weight, but it does not provide specific information about the body's nutritional stores or protein status. Assessing skin integrity regularly is also essential, but changes in skin integrity can be due to multiple factors and not solely nutritional status. None of these alone would wholly represent the efficacy of enteral nutrition, but monitoring serum albumin along with other clinical signs can give a more comprehensive understanding of the patient's nutritional well-being.