Exam 15: Enteral and Parenteral Nutrition Support

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Which person would be the most appropriate candidate when considering home nutrition support?​

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Matching​ -standard formulas​

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Compared to enteral nutrition, parenteral nutrition _____.​

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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. -After two weeks, Mr. Avery is moved to a rehab facility. It would be appropriate at this time to change his feeding method to _____. ​

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Once the need for intravenous nutrition has resolved, the client should be immediately taken off of the solution and put onto an oral diet.​

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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. -Mr. Edward's blood glucose level rises to 350 mg/dL. What response from the health care team is most appropriate?​

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​Long-term TPN administration may result in complications such as _____.

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Highly concentrated nutrient solutions are not suitable for peripheral parenteral nutrition.

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Matching​ -piggyback

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Currently, the primary treatment for many inborn errors that involve nutrient metabolism is _____. ​

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Which candidate would most likely benefit from peripheral parenteral nutrition?​

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Matching​ -​enteral nutrition

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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 is receiving continuous enteral tube feedings and has an order for oral phenytoin. Which method is most appropriate for administering the medication? ​

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Matching​ -hypertonic formula​

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If a client tolerates a formula after it is initiated, the rate of a continuous feeding should be increased by about 30 milliliters per hour every 8 to 10 hours.​

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Matching​ -elemental formulas​

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A drawback to using specialized or disease-specific formulas is that _____.​

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​Identify specific conditions that necessitate the use of total parenteral nutrition (TPN) by central vein.

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What is refeeding syndrome, and how can it be prevented?​

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An adult's requirement for water is about _____ mL of water per kg of body weight per day​

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