Nutrition, Hydration and Electrolytes · NCLEX Exam

What must hydration and electrolyte support include for a patient with hyperglycemia and hypernatremia during enteral nutrition initiation?

  1. Simply reduce the enteral feed rate until sodium normalizes
  2. Match fluid administration to feed content and assess the formula's sodium load
  3. Ignore the hypernatremia, since it is expected to self-correct over time
  4. Adjust insulin dosing only and leave fluids unchanged
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Correct answer: Match fluid administration to feed content and assess the formula's sodium load

Fluid content and sodium load in nutrition must be considered to address hyperglycemia, hypernatremia, and maintain electrolyte balance.

Difficulty: Hard Question 17 of 20

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