Exam 15: Enteral and Parenteral Nutrition Support

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When a patient receives enteral nutrition through tube feedings, they cannot eat food.​

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False

​Infusing medications along with an enteral formula increases the osmolality of the tube feeding and may cause a patient to experience _____.

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A

A parenteral solution that contains dextrose and amino acids but which requires lipids to be administered separately is called a(n) _____.​

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C

Matching​ -2-in-1 solution

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Matching​ -​cystic fibrosis

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Low-profile gastrostomy tubes are often preferred by children and active adults for long-term home enteral nutrition programs.​

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Matching​ -​nutrition support

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Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center and resuscitated after being found unconscious in his car in a parking lot. His history was obtained by contacting his daughter. The patient presents with: end-stage adenocarcinoma of the gastroesophageal juncture. chronic malnutrition and significant weight loss × 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting. acute pancreatitis with intractable vomiting. Medical Hx: Hypertension; S/P stroke @ age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication. Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s. Ht: 5'8". Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs. Social Hx: Lives alone; cooks and shops for himself despite illness. Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet. Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support. -Because Mr. Edward is starting parenteral nutrition, what actions should the team take that would best prevent liver damage? ​

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Lifelong adherence to dietary restrictions is recommended for individuals with PKU in order to protect their _____. ​

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Matching​ -refeeding syndrome​

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Matching​ -blenderized formulas​

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Matching​ -metabolites

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What action would most likely prevent refeeding syndrome in a malnourished patient? ​

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Many tube feeding complications can be prevented by selecting the formula and feeding route wisely, preparing the formula correctly, and delivering it appropriately.​

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Lipid infusions must be restricted in patients with _____. ​

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A formula that approximates the osmolality of normal blood serum _____.​

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Matching​ -continuous parenteral nutrition

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Matching​ -intractable​

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The main source of energy in parenteral solutions is _____.​

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Matching​ -gastric decompression​

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