What laboratory value indicates a client receiving bolus enteral tube feedings may need a change in formula?

A blood urea nitrogen (BUN) level of 28 mg/dL can indicate that the client may be experiencing issues related to kidney function or protein metabolism, which could suggest a need for a change in the enteral feeding formula. Elevated BUN levels can be caused by dehydration, excessive protein intake, or renal impairment. In the context of enteral feedings, it might suggest that the current formula is too high in protein or that the client's body is not adequately processing the nutrients, possibly leading to an overload.

Monitoring BUN is crucial as it helps assess the patient's nutritional status, hydration level, and kidney function. Since enteral feeding formulas can vary significantly in protein content, a BUN level that is elevated indicates a situation where adjustments to the formula may be necessary to ensure that the client receives appropriate nutrition without overloading their system, especially if renal issues are a concern.

The other laboratory values indicate normal ranges or do not necessarily suggest a need for a formula change. The creatinine value is within a normal range, indicating no current renal impairment. A glucose level of 100 mg/dL is considered normal and typically indicates good blood sugar control, while an albumin level of 4.0 g/dL is also normal,