Mr.Avery's swallowing ability and oral intake are improving.He is now consuming about 2 / 3 of his estimated nutrient needs from oral intake.It would be appropriate at this time to:

Since Mr. Avery is now consuming a significant portion of his nutrient needs orally, it would be appropriate to discontinue the tube feeding to encourage further oral intake and assess his ability to meet his nutritional needs without supplemental feeding.

Mr.Avery's swallowing ability and oral intake are improving.He is now consuming about 2 / 3 of his estimated nutrient needs from oral intake.It would be appropriate at this time to:

Since Mr. Avery is now consuming a significant portion of his nutrient needs orally, it would be appropriate to discontinue the tube feeding to encourage further oral intake and assess his ability to meet his nutritional needs without supplemental feeding.

Solved

MrAvery's Swallowing Ability and Oral Intake Are Improving $\bullet$ End-Stage Adenocarcinoma of the Gastroestophageal Juncture

Question 61

Multiple Choice

Mr.Avery's swallowing ability and oral intake are improving.He is now consuming about ²/₃ of his estimated nutrient needs from oral intake.It would be appropriate at this time to:

A) discontinue the tube feeding.
B) increase the rate of the tube feeding.
C) decrease the rate of the parenteral feeding.
D) discontinue the parenteral feeding.
Use the following case study to answer questions 63-68.
Mr) Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center upon being found unconscious in his car in a parking lot and resuscitated.His history was obtained by contacting his daughter.The patient presents with:
$\bullet$ end-stage adenocarcinoma of the gastroestophageal juncture.
$\bullet$ chronic malnutrition and significant weight loss × 1 year.Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
$\bullet$ acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke @ age 56; cataract surgery.Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day) ; alcohol abuse since his late 20s.
Ht: 5'8".Admission Wt: 107 lbs.Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr) Edward is not being actively treated for cancer at his request.Plan is to keep Mr.Edward NPO and place a peripheral line for hydration and nutrition support.