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    Ati nurs 662 med surg proctored exam

    Of the following for which patient would you suggest oral or enteral feedings?

    Explanation & Rationale

    A. A patient who has been NPO for 36 hours: Patients who are temporarily unable to eat but have a functional gastrointestinal tract may safely resume oral or enteral feedings. Providing nutrition supports energy needs, prevents catabolism, and maintains gut integrity. B. A patient with a GI obstruction: Enteral or oral feedings are contraindicated in gastrointestinal obstruction, as this can worsen distention, vomiting, or perforation. Alternative nutrition such as parenteral feeding may be required. C. A patient who is severely dehydrated: Severe dehydration requires fluid resuscitation before initiating oral or enteral nutrition. Attempting feedings without correcting volume deficits can lead to hypotension, electrolyte imbalances, and poor absorption. D. A patient experiencing intractable vomiting: Persistent vomiting prevents adequate nutrient absorption and increases the risk of aspiration. Enteral or oral feedings are not appropriate until vomiting is controlled and the patient can tolerate intake safely.

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