- Assess client ability to eat (e.g., chew, swallow)
- Assess client for actual/potential specific food and medication
interactions
- Consider client choices regarding meeting nutritional
requirements and/or maintaining dietary restrictions, including
mention of specific food items
- Monitor client hydration status (e.g., edema, signs and
symptoms of dehydration)
- Initiate calorie counts for clients
- Apply knowledge of mathematics to client nutrition (e.g., body
mass index [BMI])
- Manage the client's nutritional intake (e.g., adjust diet,
monitor height and weight)
- Promote the client's independence in eating
- Provide/maintain special diets based on the client
diagnosis/nutritional needs and cultural considerations (e.g., low
sodium, high protein, calorie restrictions)
- Provide nutritional supplements as needed (e.g., high protein
drinks)
- Provide client nutrition through continuous or intermittent
tube feedings
- Evaluate side effects of client tube feedings and intervene, as
needed (e.g., diarrhea, dehydration)
- Evaluate client intake and output and intervene as needed
- Evaluate the impact of disease/illness on nutritional status of
a client
Adequate nutrition consists of the ingestion and utilization of
water, essential nutrients, vitamins and minerals to maintain and
sustain health and wellness.
A normal diet should consist of all of the food groups including
fruits, vegetables, dairy foods, protein and grains according to
the United States Department of Agriculture.
Like other basic human needs such as elimination, nutrition can
be negatively impacted by a number of factors and forces such as
diseases and disorders like anorexia, nausea, vomiting, anorexia,
dysphagia and malabsorption, cultural and ethnical beliefs about
nutrition and foods, personal preferences, level of development,
lifestyle choices, economic restraints, psychological factors and
disorders such as eating disorders, medications, and some
treatments like radiation therapy and chemotherapy.
Formulas Used:
- For 0 - 10 kg = weight (kg) x 100 mL/kg/day.
- For 10-20 kg = 1000 mL + [weight (kg) x 50 ml/kg/day]
- For > 20 kg = 1500 mL + [weight (kg) x 20 ml/kg/day]
https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.registerednursing.org/nclex/nutrition-oral-hydration/&ved=2ahUKEwi75qncuKrsAhWYV30KHXWWBXYQFjABegQIAxAB&usg=AOvVaw3mgnGwedLCms45gsOyD9ws