29. A nurse is caring for a client with cirrhosis. As part of the teaching regarding dietary means of minimizing the effects of the disorder, the nurse educates the client about foods that are high in thiamine. The nurse determines that the client has the best understanding of the material if the client states to increase the intake of which foods? Select all that apply. A. Milk B. Peanuts C. Chicken D. Broccoli E. Asparagus F. Whole-grain cereals 30. A nurse is monitoring the nutritional status of a client receiving enteral nutrition. Which parameter does the nurse use to determine the effectiveness of the tube feedings? A. Daily weight B. Serum protein level C. Calorie count sheets D. Daily intake and output records
Answer (1)
To address the two parts of the question effectively:
29. Foods High in Thiamine
Thiamine, also known as vitamin B1, is essential for various cellular processes, including energy metabolism. It's crucial for patients with cirrhosis as this condition can lead to thiamine deficiency due to malabsorption or increased demand. Suitable foods high in thiamine that could be suggested for increasing intake include:
B. Peanuts - Peanuts are known to be a good source of thiamine.
C. Chicken - Though not as high as whole grains, chicken does provide a good source of thiamine.
F. Whole-grain cereals - These are among the best sources of thiamine and are especially beneficial for maintaining adequate levels.
Therefore, the nurse should encourage the patient to include more peanuts, chicken, and whole-grain cereals in their diet.
30. Monitoring Nutritional Status with Enteral Nutrition
When a nurse is monitoring the nutritional status of a client receiving enteral nutrition, several parameters can be assessed. Among the options:
A. Daily weight - This is the most effective parameter for determining the effectiveness of tube feedings. Daily weight monitoring helps track changes in body mass and fluid status, which is crucial in assessing the nutritional adequacy and effectiveness of enteral nutrition.
Serum protein levels, calorie count sheets, and intake/output records also provide valuable information, but daily weight gives a direct indicator of overall nutritional status changes over time.
