Question 1

feedings are commonly used for individuals with:

Accepted Answer

A) malabsorption disorders. 
B) pancreatitis. 
C) severe swallowing difficulties. 
D) nonfunctional GI tracts. 
A) malabsorption disorders. 
B) pancreatitis. 
C) severe swallowing difficulties. 
D) nonfunctional GI tracts.

Question 2

advantages of a closed feeding system include:

Accepted Answer

A) less likelihood of contamination. 
B) lower initial cost. 
C) increased nurse contact with the patient. 
D) increased patient tolerance. 
A) less likelihood of contamination. 
B) lower initial cost. 
C) increased nurse contact with the patient. 
D) increased patient tolerance.

Question 3

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.
-Mr.Avery's feeding is being delivered continuously by an infusion pump.The advantage of a continuous feeding is:

Accepted Answer

A) an accurate and steady flow rate. 
B) less expense. 
C) more freedom of movement for the patient. 
D) less risk of diarrhea. 
A) an accurate and steady flow rate. 
B) less expense. 
C) more freedom of movement for the patient. 
D) less risk of diarrhea.

Question 4

inborn error of metabolism results in the absence, deficiency, or malfunction of a:

Accepted Answer

A) carbohydrate. 
B) lipid. 
C) protein. 
D) fat. 
A) carbohydrate. 
B) lipid. 
C) protein. 
D) fat.

Question 5

Identify specific conditions that necessitate the use of TPN.

Accepted Answer

Total Parenteral Nutrition (TPN) is a sp

Question 6

tube-fed patient requires 2175 mL of water to meet his fluid needs.The tube feeding provides 1995 mL of water per day.How many 60 mL flushes with water will the nurse need to deliver to meet the patient's fluid needs?

Accepted Answer

A) 2 
B) 3 
C) 4 
D) 5 
A) 2 
B) 3 
C) 4 
D) 5

Question 7

adult's requirement for water is about:

Accepted Answer

A) 1000 mL/day. 
B) 1500 mL/day. 
C) 2000 mL/day. 
D) 2500 mL/day. 
A) 1000 mL/day. 
B) 1500 mL/day. 
C) 2000 mL/day. 
D) 2500 mL/day.

Question 8

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.

Accepted Answer

A) True 
 B)False

Question 9

Standard formulas provide approximately:

Accepted Answer

A) 0.5 kcalories per mL. 
B) 1 kcalorie per mL. 
C) 1.5 kcalories per mL. 
D) 2 kcalories per mL. 
A) 0.5 kcalories per mL. 
B) 1 kcalorie per mL. 
C) 1.5 kcalories per mL. 
D) 2 kcalories per mL.

Question 10

nurse understands that a characteristic of a hydrolyzed enteral formula is that it:

Accepted Answer

A) contains only one nutrient source. 
B) contains lactose. 
C) contains partially or fully broken down nutrients. 
D) contains intact proteins. 
A) contains only one nutrient source. 
B) contains lactose. 
C) contains partially or fully broken down nutrients. 
D) contains intact proteins.

Question 11

Describe the current procedure for administering a TPN feeding.

Accepted Answer

The answer of Describe the current procedure for administering a...

Question 12

The nurse is working with a bed-ridden patient who is under severe stress, is malnourished, and is not expected to be able to eat within 7-10 days.This patient should receive:

Accepted Answer

A) an oral diet. 
B) a tube feeding. 
C) a simple IV solution. 
D) a liquid dietary supplement. 
A) an oral diet. 
B) a tube feeding. 
C) a simple IV solution. 
D) a liquid dietary supplement.

Question 13

Mr.Baxter's medical problem that caused the need for IV nutrition has resolved.The nurse recognizes that Mr.Baxter requires a gradual transition from an IV feeding to an oral diet to prevent:

Accepted Answer

A) GI problems. 
B) hypoglycemia. 
C) apprehension. 
D) respiratory acidosis. 
A) GI problems. 
B) hypoglycemia. 
C) apprehension. 
D) respiratory acidosis.

Question 14

main source of energy in parenteral solutions is:

Accepted Answer

A) amino acids. 
B) glucose. 
C) lipid emulsions. 
D) fluids and electrolytes. 
A) amino acids. 
B) glucose. 
C) lipid emulsions. 
D) fluids and electrolytes.

Question 15

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.
-Carbohydrates will provide approximately 50% of Ms.Johnson's kcalories.What form of carbohydrate will be used and how is the caloric content different from that of glucose?

Accepted Answer

Carbohydrate is provided in th

Question 16

TPN is indicated for each of the following except:

Accepted Answer

A) patients who cannot be fed through the GI tract. 
B) situations where long-term parenteral nutrition will be required. 
C) situations where nutrient requirements are high. 
D) patients who are moderately malnourished. 
A) patients who cannot be fed through the GI tract. 
B) situations where long-term parenteral nutrition will be required. 
C) situations where nutrient requirements are high. 
D) patients who are moderately malnourished.

Question 17

Parenteral nutrition can be discontinued when _____ of estimated energy needs are being met by oral intake, tube feeding, or a combination of the two.

Accepted Answer

A) 1/3-1/2 
B) 1/4-1/3 
C) 1/3-3/4 
D) 2/3-3/4 
A) 1/3-1/2 
B) 1/4-1/3 
C) 1/3-3/4 
D) 2/3-3/4

Question 18

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.
-Avery's swallowing ability and oral intake are improving.He is now consuming about 2/3 of his estimated nutrient needs from oral intake.It would be appropriate at this time to:

Accepted Answer

A) discontinue the tube feeding. 
B) increase the rate of the tube feeding. 
C) decrease the rate of the parenteral feeding. 
D) discontinue the parenteral feeding. 
A) discontinue the tube feeding. 
B) increase the rate of the tube feeding. 
C) decrease the rate of the parenteral feeding. 
D) discontinue the parenteral feeding.

Question 19

Dietary treatment of PKU includes:

Accepted Answer

A) restriction of phenylalanine. 
B) avoidance of simple sugars. 
C) restriction of galactose. 
D) avoidance of milk and dairy foods. 
A) restriction of phenylalanine. 
B) avoidance of simple sugars. 
C) restriction of galactose. 
D) avoidance of milk and dairy foods.

Question 20

Enteral nutrition is more costly than parenteral nutrition.

Accepted Answer

A) True 
 B)False

Exam 16: Specialized Nutrition Support: Enteral and Parenteral Nutrition

feedings are commonly used for individuals with:

advantages of a closed feeding system include:

inborn error of metabolism results in the absence, deficiency, or malfunction of a:

Identify specific conditions that necessitate the use of TPN.

tube-fed patient requires 2175 mL of water to meet his fluid needs.The tube feeding provides 1995 mL of water per day.How many 60 mL flushes with water will the nurse need to deliver to meet the patient's fluid needs?

adult's requirement for water is about:

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.

Standard formulas provide approximately:

nurse understands that a characteristic of a hydrolyzed enteral formula is that it:

Describe the current procedure for administering a TPN feeding.

The nurse is working with a bed-ridden patient who is under severe stress, is malnourished, and is not expected to be able to eat within 7-10 days.This patient should receive:

Mr.Baxter's medical problem that caused the need for IV nutrition has resolved.The nurse recognizes that Mr.Baxter requires a gradual transition from an IV feeding to an oral diet to prevent:

main source of energy in parenteral solutions is:

TPN is indicated for each of the following except:

Parenteral nutrition can be discontinued when _____ of estimated energy needs are being met by oral intake, tube feeding, or a combination of the two.

Dietary treatment of PKU includes:

Enteral nutrition is more costly than parenteral nutrition.

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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