Question 1

What describes an advantage of using a closed system for delivering enteral feedings?​

Accepted Answer

A)  ​ Less likelihood of contamination 
B)  ​Increased nurse contact with the patient 
C)  ​Reasonable cost and less expense 
D)  ​Increased patient tolerance 
E)  ​Enhanced flavor for the patient 
A)  ​ Less likelihood of contamination 
B)  ​Increased nurse contact with the patient 
C)  ​Reasonable cost and less expense 
D)  ​Increased patient tolerance 
E)  ​Enhanced flavor for the patient

Question 2

Infants diagnosed with galactosemia are given formulas that do not contain _____.​

Accepted Answer

A)  ​iron 
B)  ​lactose 
C)  ​tyrosine 
D)  ​soy 
E)  ​dextrose 
A)  ​iron 
B)  ​lactose 
C)  ​tyrosine 
D)  ​soy 
E)  ​dextrose

Question 3

Which type of enteral formula usually has the highest osmolality?​

Accepted Answer

A)  ​Standard formulas 
B)  ​Modular formulas 
C)  ​Specialized formulas 
D)  ​Elemental formulas 
E)  ​Polymeric formulas 
A)  ​Standard formulas 
B)  ​Modular formulas 
C)  ​Specialized formulas 
D)  ​Elemental formulas 
E)  ​Polymeric formulas

Question 4

In infants, _____ tube placement may be preferred because it aids breathing.​

Accepted Answer

A)  ​nasogastric 
B)  ​nasoduodenal 
C)  ​orogastric 
D)  ​nasojejunal 
E)  ​jejunostomy 
A)  ​nasogastric 
B)  ​nasoduodenal 
C)  ​orogastric 
D)  ​nasojejunal 
E)  ​jejunostomy

Question 5

The dextrose monohydrate used in parenteral nutrition solutions provides _____ kcal/g.​

Accepted Answer

A)  ​0.9 
B)  ​1.8 
C)  ​2.5 
D)  ​3.4 
E)  ​4.2 
A)  ​0.9 
B)  ​1.8 
C)  ​2.5 
D)  ​3.4 
E)  ​4.2

Question 6

Dietary treatment of galactosemia depends primarily on the elimination of _____. ​

Accepted Answer

A)  ​chicken and fish 
B)  ​milk and milk products 
C)  ​fruits and vegetables 
D)  ​cereals and pasta 
E)  ​peanuts and tree nuts 
A)  ​chicken and fish 
B)  ​milk and milk products 
C)  ​fruits and vegetables 
D)  ​cereals and pasta 
E)  ​peanuts and tree nuts

Question 7

Matching​
-cyclic feedings​

Accepted Answer

A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids 
A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids

Question 8

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.
-Which parenteral infusion complication is Mr. Edward at risk of developing?​

Accepted Answer

A)  ​Refeeding syndrome 
B)  ​Hypoglycemia 
C)  ​Hypernatremia 
D)  ​Hypovolemia 
E)  ​Metabolic bone disease 
A)  ​Refeeding syndrome 
B)  ​Hypoglycemia 
C)  ​Hypernatremia 
D)  ​Hypovolemia 
E)  ​Metabolic bone disease

Question 9

The nurse is working with a patient who requires a tube feeding but who would like to return to work and resume other activities. What is the best way to feed this patient?​

Accepted Answer

A)  ​Using a nasojejunal tube 
B)  ​Providing continuous feedings 
C)  ​Using a nasogastric tube 
D)  ​Providing bolus feedings 
E)  ​Changing from tube feedings to parenteral feedings 
A)  ​Using a nasojejunal tube 
B)  ​Providing continuous feedings 
C)  ​Using a nasogastric tube 
D)  ​Providing bolus feedings 
E)  ​Changing from tube feedings to parenteral feedings

Question 10

Which condition would most likely require nutrition delivered through TPN?​

Accepted Answer

A)  ​A severe swallowing disorder 
B)  ​Mechanical ventilation 
C)  ​A neurological disorder 
D)  ​Paralytic ileus 
E)  ​Impaired esophageal motility 
A)  ​A severe swallowing disorder 
B)  ​Mechanical ventilation 
C)  ​A neurological disorder 
D)  ​Paralytic ileus 
E)  ​Impaired esophageal motility

What describes an advantage of using a closed system for delivering enteral feedings?

Infants diagnosed with galactosemia are given formulas that do not contain _____.

Which type of enteral formula usually has the highest osmolality?

In infants, _____ tube placement may be preferred because it aids breathing.

The dextrose monohydrate used in parenteral nutrition solutions provides _____ kcal/g.

Dietary treatment of galactosemia depends primarily on the elimination of _____.

Matching -cyclic feedings

The nurse is working with a patient who requires a tube feeding but who would like to return to work and resume other activities. What is the best way to feed this patient?

Which condition would most likely require nutrition delivered through TPN?

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management - Overweight and Underweight

The Vitamins

Water and the Minerals

Nutrition Through the Life Span - Pregnancy and Infancy

Nutrition Through the Life Span - Childhood and Adolescence

Nutrition Through the Life Span - Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Nutrition in Metabolic and Respiratory Stress

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition - Cancer - and HIV Infection

Filters

Exam 15: Enteral and Parenteral Nutrition Support