Exam 20: Enteral Nutrition Support

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Alan has been diagnosed with cancer and needs oral supplements to prevent weight loss. What oral supplement that can be purchased over-the-counter should be recommended for Alan?

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A patient requires 1800 kcal per day and is receiving a standard formula that provides 1.2 kcal per milliliter in eight intermittent feedings daily. Calculate the volume of formula required at each feeding.

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A patient has a procedure in. which an opening into the gastrointestinal tract is made through the abdominal wall for administering enteral feeding. What is this procedure called?

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An opening in the abdomen through which a feeding tube can be passed to the stomach is called a(n) ____.

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The protein content of enteral formulas is usually ____ percent of total kcalories.

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Short Case Study Questions   Maureen Grey is a 75-year-old nursing home patient. She has been obtaining her nutrition via tube feeding for over 3 years. She is admitted to Good Valley Hospital with a diagnosis of dehydration with weight loss (8 lb) in 1 month. -Ten days after being admitted to the hospital, Maureen develops gastroparesis and a fistula. What would be a better way to feed Maureen at this point?

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A nurse determines that his patient's jejunostomy tube is clogged. What is a possible cause?

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A respiratory secretion sample typically has a pH of ____.

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Match each word or phrase with the most appropriate definition or explanation.
intravenous provision of nutrients that bypasses the gastrointestinal tract
continuous feeding
delivery of about 250 to 400 mL of formula over 30 to 45 minutes
transnasal
slow delivery of formula at a constant rate over an 8- to 24-hour period
enterostomy
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intravenous provision of nutrients that bypasses the gastrointestinal tract
continuous feeding
delivery of about 250 to 400 mL of formula over 30 to 45 minutes
transnasal
slow delivery of formula at a constant rate over an 8- to 24-hour period
enterostomy
feeding tube inserted through the nose
phenylketonuria
enteral formulas that contain partially or fully hydrolyzed proteins and carbohydrates
modular formulas
enteral formulas that contain single macronutrients
isotonic formula
formula with an osmolality similar to that of blood serum
galactosemia
a heritable change in the DNA sequence of a gene
hypertonic formula
inherited disorder that affects conversion of the essential amino acid phenylalanine to the amino
standard formulas
delivery of about 250 to 500 mL of formula in less than 15 minutes
inborn error of metabolism
formula with an osmolality greater than that of blood serum
mutation
general-purpose enteral formulas that contain intact proteins and polysaccharides
elemental formulas
inherited disorder that affects galactose metabolism
intermittent feeding
an inherited trait that causes a deficiency or the absence of a protein that has a critical metabolic role
enteral nutrition
provision of nutrients through the GI tract
parenteral nutrition
an opening into the GI tract through which a feeding tube can be passed
bolus feeding
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Explain how mechanical complications can develop with tube feedings. How are these complications corrected?

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What is a carbohydrate source used in many standard formulas?

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Nausea, vomiting, and cramps in a patient with a feeding tube are most likely caused by ____.

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The fat content of enteral formulas is usually ____ percent of total kcalories.

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Mr. Simpson is receiving formula intermittently six times a day. He needs 1500 mL every 24 hours. How many milliliters of formula is Mr. Simpson receiving at each feeding?

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A gastric secretion sample typically has a pH of ____.

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Standard formulas are also referred to as ____ formulas.

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A patient who does not tolerate a bolus feeding would most likely develop what symptoms?

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What can happen when liquid medications are infused along with enteral feedings?

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Kristina is a 4-year-old with galactosemia. Her caregivers must ensure adequate intake of ____.

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Iris has an order for continuous tube feedings through her nasogastric tube. She is to receive 2500 mL of formula on a continuous basis over 24 hours. At what hourly rate should the health care provider set the infusion pump?

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