A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula.

The nurse recognizes this is being done to resolve which of the following conditions?

The client is at greatest risk for developing a Pressure ulcer due to Limited mobility.

The client’s limited mobility and the need for assistance to turn and transfer out of bed increases the risk of pressure ulcers. Pressure ulcers, also known as bedsores, are injuries to the skin and underlying tissue resulting from prolonged pressure on the skin. They most often develop on skin that covers bony areas of the body, such as the heels, ankles, hips, and tailbone. People most at risk of pressure ulcers are those with a medical condition that limits their ability to change positions or those who spend most of their time in a bed or chair.

The correct answer is choicea. Increase daily caloric intake by 300 to 400 calories,b. Consume folic acid supplements daily, andd. Take daily iron and calcium supplements.

Choice A rationale:

Pregnant teenagers need to increase their daily caloric intake by 300 to 400 calories to support the growth and development of the fetus.

Choice B rationale:

Folic acid is crucial for preventing neural tube defects in the developing fetus.Daily supplementation is recommended.

Choice C rationale:

Pregnant teenagers need to increase their protein intake to support fetal growth and maternal health.Maintaining current protein intake is not sufficient.

Choice D rationale:

Iron and calcium are essential for the development of the fetus and the health of the mother.Daily supplementation helps prevent deficiencies.

Choice E rationale:

Limiting weight gain to no more than 15 pounds is not recommended.Healthy weight gain during pregnancy varies but is generally higher than 15 pounds to support fetal development.