hard · NCLEX-RN psychosocial
A nurse is caring for a 16-year-old client with anorexia nervosa who is receiving enteral nutrition. The nurse notes a gradual decline in the client's serum potassium to 3.1 mEq/L (3.1 mmol/L) [Reference: 3.5–5.0 mEq/L (3.5–5.0 mmol/L)] and magnesium to 1.3 mg/dL (0.53 mmol/L) [Reference: 1.7–2.2 mg/dL (0.70–0.90 mmol/L)]. Which of the following actions should the nurse perform? Select all that apply.
- Administer the prescribed oral potassium chloride and magnesium oxide supplements with food or enteral formula.
- Implement continuous cardiac telemetry monitoring.
- Request an order to increase the enteral nutrition rate to meet calorie goals faster.
- Hold the enteral nutrition and flush the feeding tube with 100 mL of warm water.
- Assess the client for muscle weakness, tremors, and hyperreflexia.
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