Exam 17: Nutritional Support

The nurse assumes care for a patient who is being treated with enteral feeding.When performing the initial assessment,the nurse finds the patient supine and asleep.The nurse will perform which action?

A patient receiving total parenteral nutrition (TPN)begins having cough and dyspnea.The nurse auscultates rales and notes neck vein engorgement and weight gain.The nurse suspects that the patient is experiencing which condition?

The nurse dilutes an antibiotic before administering it through a patient's nasogastric tube.The patient asks why this is necessary.The nurse explains that diluting the antibiotic helps to

The nurse is caring for a patient who is receiving total parenteral nutrition (TPN).The patient reports nausea,headache,and thirst.The nurse will contact the provider to discuss

Which patient is most likely to be a candidate for total parenteral nutrition (TPN)rather than enteral nutrition?

The nurse is preparing to discontinue total parenteral nutrition (TPN)therapy for a patient who has been receiving TPN for several days.The nurse will contact the provider to discuss an order for

Patients with which conditions would benefit from enteral feedings? (Select all that apply.)

The nurse is preparing to hang a new bag for a patient who is receiving total parenteral nutrition (TPN).During this procedure,the nurse will instruct the patient to take a deep breath and then perform which action?

The nurse is caring for a patient who is being treated with total parenteral nutrition (TPN).The patient is experiencing chest pain,and the nurse observes shortness of breath and coughing along with cyanosis.The nurse understands that this patient is most likely experiencing which condition?

The nurse is preparing to administer enteral nutrition to a patient.Which assessment finding would prompt the nurse to hold the nutrition and notify the patient's provider?

A patient who has been receiving continuous enteral nutrition has had several large,watery stools.The nurse will contact the provider to discuss which intervention?

The nurse is preparing a patient who will receive intermittent enteral nutrition at home with a hyperosmolar solution.What information will the nurse include when teaching this patient?

The nurse is caring for a patient who is receiving total parenteral nutrition (TPN).The nurse will carefully monitor this patient for which symptom(s)?

The nurse is preparing to administer an enteral feeding to a patient who receives 300 mL of Isocal over 30 minutes every 4 hours.The nurse checks the residual prior to initiating the feeding and notes a residual amount of 50 mL of formula.Which action will the nurse take next?

The provider calculates the enteral nutrition needs for a nonambulatory patient and determines that the patient will need 300 mL of Ultracal every 4 hours.Which method of delivery will the nurse use to administer these feedings?

The nurse assumes care of a patient who has been receiving intermittent enteral feedings of 240 mL of Osmolite every 4 hours for the past 48 hours.The patient is in bed with the head of the bed elevated 60 degrees.The enteral tubing is intact,and the enteral pump is infusing at 360 mL per hour.The nurse notes 60 mL of solution left in the bag.The tubing is not labeled.What will the nurse do?

The nurse is preparing to administer enteral nutrition to a patient who has had a stroke and who cannot swallow.A family member asks why the patient isn't receiving intravenous nutrition.What information will the nurse provide to the family member?

The nurse is caring for an adult with severe burns who weighs 60 kg.Prior to initiating total parenteral nutrition (TPN)therapy,the nurse reviews the orders.Which TPN order is correct for this patient?

A patient who has been receiving total parenteral nutrition (TPN)for several days accidently removes the intravenous (IV)line.While waiting for the IV therapy nurse,the nurse caring for this patient will monitor for which complication?

The nurse is caring for a patient who is receiving total parenteral nutrition (TPN)and notes that the patient becomes dyspneic when transferring from the bed to a chair.The nurse auscultates rales in both lungs.Which action will the nurse take next?