Final answer:
The unexpected finding in a patient receiving continuous enteral feeding via NG tube is a gastric residual of 300 mL at the end of the shift, indicating potential feeding intolerance or delayed gastric emptying. so, option 1 is the correct answer.
Step-by-step explanation:
A nurse caring for a client who is receiving continuous enteral feeding via NG tube should be aware of the expected outcomes and potential complications associated with this type of feeding. In the given scenario, an unexpected finding would be (1) A gastric residual of 300 mL at the end of the shift. Gastric residual volume (GRV) measures the amount of feeding formula left in the stomach and should generally be less than 250 mL before the next feeding to prevent aspiration or regurgitation, indicating potential feeding intolerance or delayed gastric emptying.
Diarrhea (2) can occur once in a while due to multiple factors and may not be unexpected. A weight gain of 0.91 kg (3) over two days might be expected due to nutritional intake, especially if the patient is malnourished. A blood glucose level of 110 mg/dl (4) is within normal range postprandially and would not be considered unexpected.
In patients with chronic watery diarrhea, a blood test could reveal various abnormalities. These might include results indicating dehydration, electrolyte imbalances, malabsorption, or an infection such as C. difficile, especially in patients with a history of antibiotic use. Chronic diarrhea depletes not just water but also salts and nutrients which can be revealed through comprehensive blood work.