The client has been on full-strength formula tube feeding at 60 mL/hr through the NG tube for 2 days. In delegating the care of the client, which directive, given to the nursing assistant, most indicates that the nurse is monitoring for tube feeding complications?
a. “Let me know if the client has liquid bowel movements this shift.”
b. “Weigh the client on the stand-up scale as soon as report is over.”
c. “The client can sit in a chair for 30 minutes this morning.”
d. “Take the vital signs every 4 hours.”
Rationale:
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