Question 1

The cost of home nutrition support is a concern for people who require it.

Accepted Answer

A) True 
 B)False  True

Question 2

Before discontinuing a tube feeding, the patient's oral intake should be about _____ of estimated nutrient needs.

Accepted Answer

A) 1/3 
B) ½ 
C) ¾ 
D) 2/3 
A) 1/3 
B) ½ 
C) ¾ 
D) 2/3 D

Question 3

Case Study 
Jennifer Johnson is a 53-year-old woman with a history of Crohn's disease and type 2 diabetes.She had surgery two days ago to remove a portion of her small intestine.Her gastrointestinal tract will not be accessible for 10 to 14 days.She is slightly underweight and moderately malnourished due to her ongoing problems with Crohn's disease.
-The nutrition support prescribed for Ms.Johnson provides 30% of kcalories from lipids.Why do you think the higher end of the recommended range for lipids was prescribed?

Accepted Answer

Ms.Johnson has a history of type 2 diabetes.Including lipids as an energy source reduces the need for kcalories from dextrose and may lower her risk of hyperglycemia.

Question 4

nurse understands that a gastric feeding is preferred when possible because:

Accepted Answer

A) the stomach controls the rate at which nutrients enter the intestine. 
B) there is less risk of aspiration. 
C) it is more cost efficient than intestinal feedings. 
D) it enhances nutrient absorption. 
A) the stomach controls the rate at which nutrients enter the intestine. 
B) there is less risk of aspiration. 
C) it is more cost efficient than intestinal feedings. 
D) it enhances nutrient absorption.

Question 5

Long-term TPN may result in complications such as:

Accepted Answer

A) gallbladder disease. 
B) heart disease. 
C) diabetes. 
D) cancer. 
A) gallbladder disease. 
B) heart disease. 
C) diabetes. 
D) cancer.

Question 6

Compared to enteral nutrition, parenteral nutrition:

Accepted Answer

A) carries a greater risk of complications. 
B) is less expensive. 
C) can be used for longer periods of time. 
D) requires hospitalization. 
A) carries a greater risk of complications. 
B) is less expensive. 
C) can be used for longer periods of time. 
D) requires hospitalization.

Question 7

ideal formula for a patient is one that:

Accepted Answer

A) meets his/her medical and nutrient needs. 
B) is the least expensive. 
C) provides fiber. 
D) contains lactose. 
A) meets his/her medical and nutrient needs. 
B) is the least expensive. 
C) provides fiber. 
D) contains lactose.

Question 8

Mr.Johnson is severely malnourished, is at high risk for aspiration, and may need nutrition support for several weeks.The nurse recognizes that Mr.Johnson should be placed on:

Accepted Answer

A) conventional foods plus liquid supplements. 
B) a simple IV solution. 
C) peripheral parenteral nutrition. 
D) total parenteral nutrition by central vein. 
A) conventional foods plus liquid supplements. 
B) a simple IV solution. 
C) peripheral parenteral nutrition. 
D) total parenteral nutrition by central vein.

Question 9

Parenteral nutrition is usually reserved for patients who cannot meet their nutrient needs using the enteral route.

Accepted Answer

A) True 
 B)False

Question 10

Enteral nutrition includes:

Accepted Answer

A) TPN. 
B) PPN. 
C) tube feedings. 
D) simple IVs. 
A) TPN. 
B) PPN. 
C) tube feedings. 
D) simple IVs.

Question 11

Describe the ways in which transition from IV feeding to an enteral diet can be accomplished.

Accepted Answer

The transition from IV feeding to an ent

Question 12

Case Study Questions
Use the following case study to answer questions 
Mr.Avery is a 77-year-old retired engineer.He is 5'10" tall and weighs 171 pounds.He suffered a stroke, which left him with left-sided paralysis, and he is having difficulty swallowing so he is unable to meet his nutritional needs via oral intake at this time.
-59.In the absence of any pre-existing medical problems or problems with digestion and absorption, the type of enteral formula that would be most appropriate for Mr.Avery is a(n):

Accepted Answer

A) standard formula. 
B) elemental formula. 
C) specialized formula. 
D) 3-in-1 solution. 
A) standard formula. 
B) elemental formula. 
C) specialized formula. 
D) 3-in-1 solution.

Question 13

Highly concentrated nutrient solutions are not suitable for peripheral parenteral nutrition.

Accepted Answer

A) True 
 B)False

Question 14

Why are the risks associated with IV nutrition more serious than those associated with enteral nutrition?

Accepted Answer

Intravenous (IV) nutrition, also known a

Question 15

appropriate placement of a tube feeding in an infant is:

Accepted Answer

A) nasogastric. 
B) nasoduodenal. 
C) orogastric. 
D) nasojejunal. 
A) nasogastric. 
B) nasoduodenal. 
C) orogastric. 
D) nasojejunal.

Question 16

Enteral nutrition provides nutrients using:

Accepted Answer

A) the lymphatic system. 
B) the gastrointestinal tract. 
C) central veins. 
D) peripheral veins. 
A) the lymphatic system. 
B) the gastrointestinal tract. 
C) central veins. 
D) peripheral veins.

Question 17

A patient's appetite may remain suppressed for several weeks after parenteral nutrition is terminated.

Accepted Answer

A) True 
 B)False

Question 18

Describe characteristics of patients who are candidates for peripheral parenteral nutrition.

Accepted Answer

Patients who are candidates for peripher

Question 19

severely malnourished patient on TPN has altered electrolyte levels, hyperglycemia, and fluid retention.The nurse recognizes that the patient may be experiencing:

Accepted Answer

A) aspiration. 
B) gallbladder disease. 
C) fatty liver. 
D) refeeding syndrome. 
A) aspiration. 
B) gallbladder disease. 
C) fatty liver. 
D) refeeding syndrome.

Question 20

a patient requires a tube feeding and gastric decompression, the nurse understands that the appropriate feeding tube is:

Accepted Answer

A) a 12 French tube. 
B) a double-lumen tube. 
C) an 8 French tube. 
D) a single-lumen tube. 
A) a 12 French tube. 
B) a double-lumen tube. 
C) an 8 French tube. 
D) a single-lumen tube.

Exam 16: Specialized Nutrition Support: Enteral and Parenteral Nutrition

The cost of home nutrition support is a concern for people who require it.

Before discontinuing a tube feeding, the patient's oral intake should be about _____ of estimated nutrient needs.

nurse understands that a gastric feeding is preferred when possible because:

Long-term TPN may result in complications such as:

Compared to enteral nutrition, parenteral nutrition:

ideal formula for a patient is one that:

Mr.Johnson is severely malnourished, is at high risk for aspiration, and may need nutrition support for several weeks.The nurse recognizes that Mr.Johnson should be placed on:

Parenteral nutrition is usually reserved for patients who cannot meet their nutrient needs using the enteral route.

Enteral nutrition includes:

Describe the ways in which transition from IV feeding to an enteral diet can be accomplished.

Highly concentrated nutrient solutions are not suitable for peripheral parenteral nutrition.

Why are the risks associated with IV nutrition more serious than those associated with enteral nutrition?

appropriate placement of a tube feeding in an infant is:

Enteral nutrition provides nutrients using:

A patient's appetite may remain suppressed for several weeks after parenteral nutrition is terminated.

Describe characteristics of patients who are candidates for peripheral parenteral nutrition.

severely malnourished patient on TPN has altered electrolyte levels, hyperglycemia, and fluid retention.The nurse recognizes that the patient may be experiencing:

a patient requires a tube feeding and gastric decompression, the nurse understands that the appropriate feeding tube is:

Overview of Nutrition and Health

Carbohydrates

Lipids

Protein

Digestion and Absorption

Metabolism, Energy Balance, and Body Composition

Weight Management: Overweight and Underweight

The Vitamins

Water and the Minerals

Fitness and Nutrition

Nutrition Through the Life Span: Pregnancy and Lactation

Nutrition Through the Life Span: Infancy, Childhood, and Adolescence

Nutrition Through the Life Span: Later Adulthood

Illness and Nutrition Care

Medications, Diet-Drug Interactions, and Herbal Supplements

Foods and Food Consistency for Upper Gi Disorders

Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders

Carbohydrate- and Fat-Modified Diets for Malabsorption Disorders

Nutrition Therapy for Liver and Gallbladder Diseases

Carbohydrate-Controlled Diets for Diabetes Mellitus

Fat-Controlled, Mineral-Modified Diets for Cardiovascular Diseases

Protein-, Mineral-, and Fluid-Modified Diets for Kidney Diseases

Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

Energy- and Protein-Modified Diets for Cancer and Hiv Infection

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