Exam 5: Enteral and Parenteral Nutrition Support

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Your patient has had multiple bowel resections and is being sent home on PN What is the best access option for this patient?

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Your patient is a reported alcohol abuser and has been in and out of homeless shelters for 2 years He presents to the ER with a CVA and severe dysphagia and requires a feeding tube What complication is he at risk for developing?

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What type of lipid is commonly used to make the lipid used in TPN?

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Which of the following access devices would be best for a patient requiring long-term PN who has body image concerns and would like something that can be hidden?

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How much additional water would a patient with an energy requirement of 2400 kcal/day need if 2400 mL of a standard formula (85% water) were administered daily?

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In cases of gastroparesis, which methods of support would yield the best results?

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Your patient has Crohn's disease and presents with severe malabsorption Which of the following formulas would be best for this patient?

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What EN complication should the RD particularly monitor for in a patient who is sedated, has an endotracheal tube, or has swallowing problems?

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Your patient has had a portion of his stomach resected The physician predicts that he will likely be on nutrition support for a long time He has a functional GI tract What is the best way to feed this patient?

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aspiration
epithelial cell of the large intestine or colon
refeeding syndrome
inspiration of foreign matter into the lung
PEG
having a higher osmolality than body fluids (>300 mOsm/kg)
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aspiration
epithelial cell of the large intestine or colon
refeeding syndrome
inspiration of foreign matter into the lung
PEG
having a higher osmolality than body fluids (>300 mOsm/kg)
bolus feedings
thickness of a liquid
NPO
wire guide within the enteral tube that assists with insertion
surgical gastrostomy
nil per os, which is Latin meaning "nothing by mouth"
colonocyte
having the same osmolality as body fluids (approximately 300 mOsm/kg)
iso-osmolar
water loving, or attracting water
stylet
administration of formula 10-24 hours daily using a pump to control the feeding rate
osmolality
metabolic alterations that may occur during nutritional repletion of starved patients
hyperosmolar
number of water-attracting particles per weight of water in kilograms (expressed as mOsm/kg)
osmolarity
rapid administration of 250-500 mL of formula several times daily
viscosity
number of millimoles of liquid or solid in a liter of solution
hydrophilic
a procedure used by a physician to insert a feeding tube through the skin and into the stomach using an endoscope
continuous feedings
an opening into the stomach that requires a surgical procedure
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A disadvantage of using the gastrostomy route for a tube feeding is:

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