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Question - Mr. R, a 35 yo drug user, is hospitalized after a motor vehicle accident (MVA). He is currently suffering from a severe concussion and lapses of consciousness, a broken jaw, multiple broken bones, and possible internal injuries. He had not eaten anything for several days PTA because hewas overdosing on drugs. Enteral feeding has been recommended in order to improve his nutritional status and given his decreased level of alertness. The patient will be bedridden until his mental status improves. A nasogastric feeding tube has been inserted and the physician has asked for your recommendation regarding the type of formula and amounts of kcal/protein needed for this patient.
Ht: 5'11" Current wt: 156 # UBW: 167 # Serum albumin: 3.0 mg/dL
1. What is an appropriate nursing diagnosis for this patient?
2. Is the nasogastric feeding route appropriate for this patient? Why or why not?
3. When starting parenteral nutrition on this patient, what should be monitored?
4. When discontinuing parenteral nutrition, why is it appropriate to continue to take glucose checks?
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