Question 1

Which of the following is a possible catheter-related complication in parenteral nutrition?

Accepted Answer

A) Phlebitis 
B) Hypertriglyceridemia 
C) Air embolism 
D) a and c 
A) Phlebitis 
B) Hypertriglyceridemia 
C) Air embolism 
D) a and c D

Question 2

Which of the following trace minerals is not usually added to parenteral solutions?

Accepted Answer

A) Zinc 
B) Nickel 
C) Chromium 
D) Selenium 
A) Zinc 
B) Nickel 
C) Chromium 
D) Selenium B

Question 3

How much energy does dextrose provide?

Accepted Answer

A) 3.4 kcal/g 
B) 4.0 kcal/g 
C) 4.4 kcal/g 
D) 5.0 kcal/g 
A) 3.4 kcal/g 
B) 4.0 kcal/g 
C) 4.4 kcal/g 
D) 5.0 kcal/g A

Question 4

How many kcalories are provided by 3 liters of a 5% dextrose solution?.

Accepted Answer

A) 150. 
B) 510 
C) 600 
D) 660 
A) 150. 
B) 510 
C) 600 
D) 660

Question 5

The large-diameter central veins are located near the

Accepted Answer

A) extremities. 
B) heart. 
C) liver. 
D) lungs. 
A) extremities. 
B) heart. 
C) liver. 
D) lungs.

Question 6

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy.
-The nutrition support team decides to increase the kcal in Ms.Reynolds's TPN _____ to prevent _____.

Accepted Answer

A) slowly, hypoglycemia 
B) quickly, hypoglycemia 
C) slowly, refeeding syndrome 
D) quickly, refeeding syndrome 
A) slowly, hypoglycemia 
B) quickly, hypoglycemia 
C) slowly, refeeding syndrome 
D) quickly, refeeding syndrome

Question 7

Daily fluid needs in young adults are approximately _____ per kg body weight versus approximately _____ per kg body weight in older adults.

Accepted Answer

A) 25-30 mL, 30-40 mL 
B) 30-40 mL, 40-50 mL 
C) 30-40 mL, 25-30 mL 
D) 40-50 mL, 30-40 mL 
A) 25-30 mL, 30-40 mL 
B) 30-40 mL, 40-50 mL 
C) 30-40 mL, 25-30 mL 
D) 40-50 mL, 30-40 mL

Question 8

What is the general term for a written or oral instruction regarding one's preferences for medical treatment to be used in the event that one becomes incapacitated?

Accepted Answer

A) Do-not-resuscitate order 
B) Advance directive 
C) Durable power of attorney 
D) Living will 
A) Do-not-resuscitate order 
B) Advance directive 
C) Durable power of attorney 
D) Living will

Question 9

The benefits of cyclic infusion of TPN include

Accepted Answer

A) maintenance of high insulin levels. 
B) increase in fat stores. 
C) flexibility in the daily scheduling of activities. 
D) achievement of a negative nitrogen balance. 
A) maintenance of high insulin levels. 
B) increase in fat stores. 
C) flexibility in the daily scheduling of activities. 
D) achievement of a negative nitrogen balance.

Question 10

To ensure a patient who is receiving TPN is adapting to the solution, health care professionals monitor

Accepted Answer

A) electrolyte balance. 
B) blood glucose concentration. 
C) arterial blood gases. 
D) a and b 
E) a, b, and c 
A) electrolyte balance. 
B) blood glucose concentration. 
C) arterial blood gases. 
D) a and b 
E) a, b, and c

Question 11

How many grams of amino acids would be provided to a client receiving 2,000 mL of a 5% amino acid solution?

Accepted Answer

A) 50 grams 
B) 100 grams 
C) 200 grams 
D) 400 grams 
A) 50 grams 
B) 100 grams 
C) 200 grams 
D) 400 grams

Question 12

For which of the following would home TPN be an appropriate means for maintaining adequate nutrition status?

Accepted Answer

A) Individuals with dysphagia 
B) Individuals with intestinal obstructions. 
C) Individuals with head and neck cancers 
D) Individuals with neurological impairments affecting the esophagus 
A) Individuals with dysphagia 
B) Individuals with intestinal obstructions. 
C) Individuals with head and neck cancers 
D) Individuals with neurological impairments affecting the esophagus

Question 13

The health care team has just ordered Mr.Carter to begin TPN.He is a 58-year-old man who is suffering from intractable diarrhea.On a weekly basis, the health care team should perform what part of the nutrition care process?

Accepted Answer

A) Diagnose nutrition problems 
B) Develop a health care plan 
C) Assess nutrition status 
D) Implement the nutrition care plan 
A) Diagnose nutrition problems 
B) Develop a health care plan 
C) Assess nutrition status 
D) Implement the nutrition care plan

Question 14

How much energy does glucose provide?

Accepted Answer

A) 3 kcal/g 
B) 4 kcal/g 
C) 5 kcal/g 
D) 6 kcal/g 
A) 3 kcal/g 
B) 4 kcal/g 
C) 5 kcal/g 
D) 6 kcal/g

Question 15

What is the specific term for a written statement that specifies the medical procedures desired or not desired in the event that a person is unable to communicate or is incapacitated?

Accepted Answer

A) Do-not-resuscitate order 
B) Advance directive 
C) Durable power of attorney 
D) Living will 
A) Do-not-resuscitate order 
B) Advance directive 
C) Durable power of attorney 
D) Living will

Question 16

How much dextrose would a person receive from 2000 milliliters of 50% dextrose?

Accepted Answer

A) 750 grams 
B) 1000 grams 
C) 1250 grams 
D) None of the above 
A) 750 grams 
B) 1000 grams 
C) 1250 grams 
D) None of the above

Question 17

Which of the following forms of glucose is available in parenteral solutions?

Accepted Answer

A) Dextrose 
B) Fructose 
C) Lactose 
D) Glucose 
A) Dextrose 
B) Fructose 
C) Lactose 
D) Glucose

Question 18

Veins that are small in diameter and carry blood from the arms and legs are the

Accepted Answer

A) central veins. 
B) hepatic veins. 
C) peripheral veins. 
D) portal veins. 
A) central veins. 
B) hepatic veins. 
C) peripheral veins. 
D) portal veins.

Question 19

Which of the following is checked daily until the patient is stabilized in order to determine tolerance to parenteral feedings?

Accepted Answer

A) Blood glucose 
B) Electrolyte levels 
C) Vitamin levels 
D) a and b 
E) b and c 
A) Blood glucose 
B) Electrolyte levels 
C) Vitamin levels 
D) a and b 
E) b and c

Question 20

Case Studies
Marc Jejune is a 30-year-old single male who exercises and follows a healthy diet.His physician admits Marc to the medical-surgical unit for evaluation.At his doctor's appointment prior to his admission, he complained of poor appetite, constipation, nausea, and vomiting for 3 days.
-Marc will need intestinal surgery and will be NPO for 10-14 days.How can his medical team meet his nutritional needs?

Accepted Answer

A) Regular diet 
B) Elemental formula 
C) PPN 
D) PICC 
A) Regular diet 
B) Elemental formula 
C) PPN 
D) PICC

Exam 21: Parenteral Nutrition Support

Which of the following is a possible catheter-related complication in parenteral nutrition?

Which of the following trace minerals is not usually added to parenteral solutions?

How much energy does dextrose provide?

How many kcalories are provided by 3 liters of a 5% dextrose solution?.

The large-diameter central veins are located near the

Daily fluid needs in young adults are approximately _____ per kg body weight versus approximately _____ per kg body weight in older adults.

What is the general term for a written or oral instruction regarding one's preferences for medical treatment to be used in the event that one becomes incapacitated?

The benefits of cyclic infusion of TPN include

To ensure a patient who is receiving TPN is adapting to the solution, health care professionals monitor

How many grams of amino acids would be provided to a client receiving 2,000 mL of a 5% amino acid solution?

For which of the following would home TPN be an appropriate means for maintaining adequate nutrition status?

The health care team has just ordered Mr.Carter to begin TPN.He is a 58-year-old man who is suffering from intractable diarrhea.On a weekly basis, the health care team should perform what part of the nutrition care process?

How much energy does glucose provide?

What is the specific term for a written statement that specifies the medical procedures desired or not desired in the event that a person is unable to communicate or is incapacitated?

How much dextrose would a person receive from 2000 milliliters of 50% dextrose?

Which of the following forms of glucose is available in parenteral solutions?

Veins that are small in diameter and carry blood from the arms and legs are the

Which of the following is checked daily until the patient is stabilized in order to determine tolerance to parenteral feedings?

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

Filters

Daily fluid needs in young adults are approximately _ per kg body weight versus approximately _ per kg body weight in older adults.