Question 1

In what way does nutrition support play a role in treatment of MODS?

Accepted Answer

A)  s upporting gas exchange 
B)  p reventing excessive wasting 
C)  p romoting excretion of waste products 
D)  m aintaining blood pressure 
E)  i ncreasing cardiac output 
A)  s upporting gas exchange 
B)  p reventing excessive wasting 
C)  p romoting excretion of waste products 
D)  m aintaining blood pressure 
E)  i ncreasing cardiac output

Question 2

Nursing Exam Review Multiple Choice Mr. Winslett is a COPD patient who is complaining of poor appetite, abdominal discomfort, and bloating. Which suggestion from the nurse is most appropriate for improving his food intake?

Accepted Answer

A)  "Consume larger meals." 
B)  "Substitute beans for meat." 
C)  "Drink a supplement before eating." 
D)  "Eat smaller, more frequent meals." 
E)  "Increase fluid intake throughout the day." 
A)  "Consume larger meals." 
B)  "Substitute beans for meat." 
C)  "Drink a supplement before eating." 
D)  "Eat smaller, more frequent meals." 
E)  "Increase fluid intake throughout the day."

Question 3

Nursing Exam Review Multiple Choice Mrs. White is in the ICU for complications following surgery. She has been diagnosed with sepsis and is on a ventilator. In order to most accurately estimate her energy needs, the nurse recognizes that the preferred method to use is:

Accepted Answer

A)  the Harris-Benedict equation. 
B)  the Penn State equation. 
C)  direct calorimetry. 
D)  the Mifflin-St. Jeor equation. 
E)  the permissive protein balance method. 
A)  the Harris-Benedict equation. 
B)  the Penn State equation. 
C)  direct calorimetry. 
D)  the Mifflin-St. Jeor equation. 
E)  the permissive protein balance method.

Question 4

Which amino acid may have beneficial effects on surgical healing of postoperative patients?

Accepted Answer

A)  tryptophan 
B)  tyrosine 
C)  arginine 
D)  phenylalanine 
E)  leucine 
A)  tryptophan 
B)  tyrosine 
C)  arginine 
D)  phenylalanine 
E)  leucine

Question 5

The principal infection most often associated with MODS is:

Accepted Answer

A)  pneumonia. 
B)  urinary tract infection. 
C)  herpes simplex virus infection. 
D)  meningitis. 
E)  hepatitis B infection. 
A)  pneumonia. 
B)  urinary tract infection. 
C)  herpes simplex virus infection. 
D)  meningitis. 
E)  hepatitis B infection.

Question 6

What method was developed for estimating energy needs in a patient with traumatic injuries?

Accepted Answer

A)  Parkland formula 
B)  Jackson/Pollock method 
C)  Harris-Benedict equation 
D)  Lund-Browder formula 
E)  Ireton-Jones energy equation 
A)  Parkland formula 
B)  Jackson/Pollock method 
C)  Harris-Benedict equation 
D)  Lund-Browder formula 
E)  Ireton-Jones energy equation

Question 7

Nursing Exam Review Multiple Choice Mr. Jones, a critically ill patient, is 5'9" tall and weighs 176 pounds. The nurse recommends that he receive a minimum of _____ grams of protein daily.

Accepted Answer

A)  64 
B)  80 
C)  96 
D)  136 
E)  240 
A)  64 
B)  80 
C)  96 
D)  136 
E)  240

Question 8

The most common risk factor associated with development of COPD is:

Accepted Answer

A)  alpha-1 anti-trypsin deficiency. 
B)  environmental exposure to pollutants. 
C)  lung cancer. 
D)  cigarette smoking. 
E)  cystic fibrosis. 
A)  alpha-1 anti-trypsin deficiency. 
B)  environmental exposure to pollutants. 
C)  lung cancer. 
D)  cigarette smoking. 
E)  cystic fibrosis.

Question 9

Recovery from an injury or illness can be hastened by hypermetabolism and positive nitrogen balance.

Accepted Answer

A) True 
 B)False

Question 10

Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident. She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition. Kati is 5'2" tall and weighs 115 pounds.
As a result of the acute-phase inflammatory response, Kati's plasma concentrations of _____ would be expected to decrease.

Accepted Answer

A)  glucose and cholesterol 
B)  sodium and potassium 
C)  iron and glucose 
D)  albumin and iron 
E)  magnesium and chloride 
A)  glucose and cholesterol 
B)  sodium and potassium 
C)  iron and glucose 
D)  albumin and iron 
E)  magnesium and chloride

Question 11

The symptoms associated with the initial inflammatory response are collectively called the systemic inflammatory response syndrome.

Accepted Answer

A) True 
 B)False

Question 12

Nursing Exam Review Multiple Choice While caring for a patient who has been injured, the nurse recognizes which sign of inflammation that accompanies altered blood flow?

Accepted Answer

A)  h yperglycemia 
B)  s welling 
C)  p ale skin 
D)  h ypotension 
E)  c onfusion 
A)  h yperglycemia 
B)  s welling 
C)  p ale skin 
D)  h ypotension 
E)  c onfusion

Question 13

Nursing Exam Review Multiple Choice A critically ill patient with ARDS is on a tube feeding and requires a fluid restriction. The nurse understands that an appropriate enteral formula would be a _____ formula.

Accepted Answer

A)  low residue 
B)  high protein 
C)  nutrient dense 
D)  hydrolyzed 
E)  low fat 
A)  low residue 
B)  high protein 
C)  nutrient dense 
D)  hydrolyzed 
E)  low fat

Question 14

Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident. She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition. Kati is 5'2" tall and weighs 115 pounds.
To decrease the risk of infection, it will be important to keep Kati's _____ under control while she is recovering.

Accepted Answer

A)  serum albumin 
B)  blood glucose 
C)  blood pressure 
D)  serum prealbumin 
E)  nitrogen 
A)  serum albumin 
B)  blood glucose 
C)  blood pressure 
D)  serum prealbumin 
E)  nitrogen

Question 15

In critically ill patients, _____ is used to measure the resting metabolic rate (RMR).

Accepted Answer

A)  skinfold measurement 
B)  BMI 
C)  the stress factor equation 
D)  indirect calorimetry 
E)  a clinical body weight growth chart 
A)  skinfold measurement 
B)  BMI 
C)  the stress factor equation 
D)  indirect calorimetry 
E)  a clinical body weight growth chart

Question 16

What complication is most closely associated with severe cases of SIRS or sepsis?

Accepted Answer

A)  hypertension 
B)  fluid retention 
C)  hypertriglyceridemia 
D)  poor glucose control 
E)  intestinal bleeding 
A)  hypertension 
B)  fluid retention 
C)  hypertriglyceridemia 
D)  poor glucose control 
E)  intestinal bleeding

Question 17

Laura is a critically ill patient. She is 5'4" tall and weighs 150 pounds. What are Laura's protein needs?

Accepted Answer

A)  34-40 g 
B)  54-68 g 
C)  82-136 g 
D)  136-158 g 
E)  160-184 g 
A)  34-40 g 
B)  54-68 g 
C)  82-136 g 
D)  136-158 g 
E)  160-184 g

Question 18

If the reduction in blood flow from inflammation is severe enough to deprive the body's tissues of oxygen and nutrients, SIRS can result.

Accepted Answer

A) True 
 B)False

Question 19

What describes the immediate care concerns of the clinician during a patient's time of severe stress?

Accepted Answer

A)  e ducating the patient about nutrient needs 
B)  p roviding psychological counseling 
C)  d etermining the level of the patient's understanding about his condition 
D)  p roviding nutrition therapy 
E)  r estoring fluids and electrolytes 
A)  e ducating the patient about nutrient needs 
B)  p roviding psychological counseling 
C)  d etermining the level of the patient's understanding about his condition 
D)  p roviding nutrition therapy 
E)  r estoring fluids and electrolytes

Question 20

Emphysema associated with COPD is most often diagnosed by:

Accepted Answer

A)  serial chest x-rays. 
B)  clinical signs and lung function tests. 
C)  oxygen saturation readings. 
D)  24-hour halter monitoring. 
E)  culture and sensitivity of mucus samples. 
A)  serial chest x-rays. 
B)  clinical signs and lung function tests. 
C)  oxygen saturation readings. 
D)  24-hour halter monitoring. 
E)  culture and sensitivity of mucus samples.

Exam 16: Nutrition in Metabolic and Respiratory Stress

In what way does nutrition support play a role in treatment of MODS?

Nursing Exam Review Multiple Choice Mr. Winslett is a COPD patient who is complaining of poor appetite, abdominal discomfort, and bloating. Which suggestion from the nurse is most appropriate for improving his food intake?

Nursing Exam Review Multiple Choice Mrs. White is in the ICU for complications following surgery. She has been diagnosed with sepsis and is on a ventilator. In order to most accurately estimate her energy needs, the nurse recognizes that the preferred method to use is:

Which amino acid may have beneficial effects on surgical healing of postoperative patients?

The principal infection most often associated with MODS is:

What method was developed for estimating energy needs in a patient with traumatic injuries?

Nursing Exam Review Multiple Choice Mr. Jones, a critically ill patient, is 5'9" tall and weighs 176 pounds. The nurse recommends that he receive a minimum of _____ grams of protein daily.

The most common risk factor associated with development of COPD is:

Recovery from an injury or illness can be hastened by hypermetabolism and positive nitrogen balance.

The symptoms associated with the initial inflammatory response are collectively called the systemic inflammatory response syndrome.

Nursing Exam Review Multiple Choice While caring for a patient who has been injured, the nurse recognizes which sign of inflammation that accompanies altered blood flow?

Nursing Exam Review Multiple Choice A critically ill patient with ARDS is on a tube feeding and requires a fluid restriction. The nurse understands that an appropriate enteral formula would be a _____ formula.

In critically ill patients, _____ is used to measure the resting metabolic rate (RMR).

What complication is most closely associated with severe cases of SIRS or sepsis?

Laura is a critically ill patient. She is 5'4" tall and weighs 150 pounds. What are Laura's protein needs?

If the reduction in blood flow from inflammation is severe enough to deprive the body's tissues of oxygen and nutrients, SIRS can result.

What describes the immediate care concerns of the clinician during a patient's time of severe stress?

Emphysema associated with COPD is most often diagnosed by:

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

The Vitamins

Water and the Minerals

Nutrition Through the Life Span: Pregnancy and Lactation

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

Nutrition Through the Life Span: Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Cardiovascular Diseases

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

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