Question 1

Which statement is true of Terri's Law?

Accepted Answer

A) It allows hospitals to withdraw life-sustaining treatment against the wishes of the family. 
B) It allowed the governor to order hospitals to withdraw life-sustaining treatment against the wishes of the family, but was found unconstitutional. 
C) It allows hospitals to continue life-sustaining treatment against the wishes of the family. 
D) It allowed the governor to intervene and act against a family's wishes in order to continue life-sustaining treatment, but was found unconstitutional. 
A) It allows hospitals to withdraw life-sustaining treatment against the wishes of the family. 
B) It allowed the governor to order hospitals to withdraw life-sustaining treatment against the wishes of the family, but was found unconstitutional. 
C) It allows hospitals to continue life-sustaining treatment against the wishes of the family. 
D) It allowed the governor to intervene and act against a family's wishes in order to continue life-sustaining treatment, but was found unconstitutional.

Question 2

The use of PPN is not possible in a patient with ____.

Accepted Answer

A) a partially functioning GI tract 
B) a low pain tolerance 
C) weak peripheral veins 
D) a swallowing disorder 
A) a partially functioning GI tract 
B) a low pain tolerance 
C) weak peripheral veins 
D) a swallowing disorder

Question 3

Why are few medications added to parenteral solutions?

Accepted Answer

A) to avoid potential drug-nutrient interactions 
B) to avoid clogging the tubing 
C) because they are unnecessary if the solution is properly balanced 
D) because it is not possible to do so 
A) to avoid potential drug-nutrient interactions 
B) to avoid clogging the tubing 
C) because they are unnecessary if the solution is properly balanced 
D) because it is not possible to do so

Question 4

How much energy does dextrose provide?

Accepted Answer

A) 3.4 kcal/g 
B) 4.0 kcal/g 
C) 4.4 kcal/g 
D) 5.0 kcal/g 
A) 3.4 kcal/g 
B) 4.0 kcal/g 
C) 4.4 kcal/g 
D) 5.0 kcal/g

Question 5

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy. The nutrition support team decides to increase the kcal in Ms. Reynolds's TPN slowly to prevent ____.

Accepted Answer

A) hypoglycemia 
B) an elevated white blood cell count 
C) refeeding syndrome 
D) weight gain 
A) hypoglycemia 
B) an elevated white blood cell count 
C) refeeding syndrome 
D) weight gain

Question 6

Define refeeding syndrome . Why does it occur, and how can it be prevented?

Accepted Answer

Severely malnourished patients who are a

Question 7

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy. The registered dietitian completing Julia's initial assessment should expect which result?

Accepted Answer

A) high albumin 
B) weight loss 
C) high iron 
D) low insulin 
A) high albumin 
B) weight loss 
C) high iron 
D) low insulin

Question 8

Marc Jejune is a 30-year-old single male who exercises and follows a healthy diet. His physician admits Marc to the medical-surgical unit for evaluation. At his doctor's appointment prior to his admission, he complained of poor appetite, constipation, nausea, and vomiting for 3 days. Marc's  nausea and vomiting continued after he was admitted. Nasogastric decompression has been started. Which diet should be recommended to completely meet his nutritional needs?

Accepted Answer

A) clear liquid 
B) elemental formula 
C) low fiber 
D) TPN 
A) clear liquid 
B) elemental formula 
C) low fiber 
D) TPN

Question 9

Marc Jejune is a 30-year-old single male who exercises and follows a healthy diet. His physician admits Marc to the medical-surgical unit for evaluation. At his doctor's appointment prior to his admission, he complained of poor appetite, constipation, nausea, and vomiting for 3 days. What should the nutritional support team do to ensure that Marc can consume enough food orally to meet his energy needs?

Accepted Answer

A) Send double portions. 
B) Discontinue the tube feeding. 
C) Discontinue the TPN. 
D) Switch to nocturnal, cyclic feedings. 
A) Send double portions. 
B) Discontinue the tube feeding. 
C) Discontinue the TPN. 
D) Switch to nocturnal, cyclic feedings.

Question 10

The formula used for home nutrition is most often influenced by cost and ____.

Accepted Answer

A) taste 
B) availability 
C) efficiency with administration 
D) appearance 
A) taste 
B) availability 
C) efficiency with administration 
D) appearance

Question 11

Redness, swelling, and tenderness at the insertion site is described as ____.

Accepted Answer

A) hematoma 
B) phlebitis 
C) infiltration 
D) nerve damage 
A) hematoma 
B) phlebitis 
C) infiltration 
D) nerve damage

Question 12

The DNR order is most often used in patients for whom ____.

Accepted Answer

A) death is expected and inevitable 
B) treatment is excessively costly and not reimbursable 
C) organ procurement is in progress 
D) families have requested it 
A) death is expected and inevitable 
B) treatment is excessively costly and not reimbursable 
C) organ procurement is in progress 
D) families have requested it

Question 13

Which trace mineral is excluded from parenteral solutions because it alters the stability of the other ingredients in the solution?

Accepted Answer

A) zinc 
B) copper 
C) iron 
D) selenium 
A) zinc 
B) copper 
C) iron 
D) selenium

Question 14

A person on cyclic parenteral nutrition receives an infusion at a constant rate for ____ hours per day.

Accepted Answer

A) 3  to  6 
B) 6  to  8 
C) 8  to  16 
D) 12  to  18 
A) 3  to  6 
B) 6  to  8 
C) 8  to  16 
D) 12  to  18

Question 15

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy. Laboratory values indicate that Julia's  blood glucose is extremely high. Which nutrient component of her TPN must be adjusted?

Accepted Answer

A) water 
B) dextrose 
C) amino acids 
D) chromium 
A) water 
B) dextrose 
C) amino acids 
D) chromium

Question 16

Match between columns
                        Premises: legal document that gives legal authority to another to make medical decisions in the event of incapacitation

Accepted Answer

The Answer of osmolarity and cyclic parenteral nutrition and continuous is...

Question 17

Discuss the quality of life issues that need to be addressed with patients receiving long-term nutrition support at home.

Accepted Answer

Although home nutrition support can help

Question 18

PPN solutions are limited in their osmolarity and TPN solutions ____.

Accepted Answer

A) can be as nutrient dense as necessary 
B) may be deficient in other components 
C) are required to be of a certain osmolarity 
D) are also limited in their osmolarity 
A) can be as nutrient dense as necessary 
B) may be deficient in other components 
C) are required to be of a certain osmolarity 
D) are also limited in their osmolarity

Question 19

Maria is a home health dietitian. She is evaluating a new TPN patient. She expects that the patient will want to change his regimen to ____.

Accepted Answer

A) continuous infusion 
B) cyclic infusion 
C) NPO 
D) bolus infusion 
A) continuous infusion 
B) cyclic infusion 
C) NPO 
D) bolus infusion

Question 20

Osmolarity refers to  milliosmoles of ions and molecules per ____.

Accepted Answer

A) liter of solution (mOsm/L) 
B) kilogram of solvent (mOsm/kg) 
C) kilogram of solution (mOsm/kg) 
D) liter of solvent (mOsm/L) 
A) liter of solution (mOsm/L) 
B) kilogram of solvent (mOsm/kg) 
C) kilogram of solution (mOsm/kg) 
D) liter of solvent (mOsm/L)

Exam 21: Parenteral Nutrition Support

Which statement is true of Terri's Law?

The use of PPN is not possible in a patient with ____.

Why are few medications added to parenteral solutions?

How much energy does dextrose provide?

Define refeeding syndrome . Why does it occur, and how can it be prevented?

The formula used for home nutrition is most often influenced by cost and ____.

Redness, swelling, and tenderness at the insertion site is described as ____.

The DNR order is most often used in patients for whom ____.

Which trace mineral is excluded from parenteral solutions because it alters the stability of the other ingredients in the solution?

A person on cyclic parenteral nutrition receives an infusion at a constant rate for ____ hours per day.

Discuss the quality of life issues that need to be addressed with patients receiving long-term nutrition support at home.

PPN solutions are limited in their osmolarity and TPN solutions ____.

Maria is a home health dietitian. She is evaluating a new TPN patient. She expects that the patient will want to change his regimen to ____.

Osmolarity refers to milliosmoles of ions and molecules per ____.

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugar, Starches, and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Energy Metabolism

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

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