Question

The nurse caring for a group of adult clients on an acute care medical-surgical nursing unit determines which clients would be the most likely candidates for parenteral nutrition (PN)? Select all that apply.

a.A client with acute gastroenteritis
b.A client with Crohn's disease and bowel obstruction
c.A client with anorexia nervosa
d.A client with postoperative ileus
e.A client with short bowel syndrome

Answer 1

Candidates for parenteral nutrition on a medical-surgical unit include a client with Crohn's disease and bowel obstruction, a client with postoperative ileus, and a client with short bowel syndrome, as their conditions impede nutrient ingestion, digestion, or absorption.

Step-by-step explanation:

The nurse identifying candidates for parenteral nutrition (PN) on a medical-surgical unit would consider the nutritional needs and the underlying conditions of each client. Parenteral nutrition is indicated for clients who cannot ingest, digest, or absorb nutrients through their gastrointestinal tract. The most likely candidates for PN among the options provided would include:

• A client with Crohn's disease and bowel obstruction: This client cannot digest or absorb nutrients effectively due to the obstruction.
• A client with postoperative ileus: This temporary cessation of bowel function post-surgery inhibits the absorption of nutrients.
• A client with short bowel syndrome: Due to the reduced intestinal surface area, nutrient absorption is severely compromised.

An acute gastroenteritis usually resolves relatively quickly, so PN may not be necessary. A client with anorexia nervosa typically has an intact gastrointestinal system, so oral intake is preferred as part of their psychological and medical treatment, provided they are medically stable and willing to eat.