Question 1

In PPN, the osmolarity of a feeding solution is usually limited to 500 milliosmoles per liter.​

Accepted Answer

A) True 
 B)False

Question 2

Describe characteristics of patients who are candidates for PPN.​

Accepted Answer

PPN is used most often in patients who r

Question 3

Most intestinal feedings are delivered by continuous drip.​

Accepted Answer

A) True 
 B)False

Question 4

The appropriate placement site for tube feeding in an infant is _____.​

Accepted Answer

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

Question 5

Matching
-peripheral veins

Accepted Answer

A) the intravenous provision of nutrients that bypasses the GI tract 
B) small-diameter veins that carry blood from the arms and legs 
C) large-diameter veins located close to the heart 
D) a type of nutrition support in which intravenous feedings are delivered into a peripheral vein 
E) a type of nutrition support in which intravenous feedings are delivered into a central vein
F)a thin tube placed within a narrow lumen (such as a blood vessel) or body cavity; can be used to infuse or withdraw fluids or to keep a passage open
G)the concentration of osmotically active particles in a solution, expressed as milliosmoles per liter (mOsm/L)
H)a parenteral solution that contains dextrose, amino acids, and lipids
I)a parenteral solution that contains dextrose and amino acids but excludes lipids 
A) the intravenous provision of nutrients that bypasses the GI tract 
B) small-diameter veins that carry blood from the arms and legs 
C) large-diameter veins located close to the heart 
D) a type of nutrition support in which intravenous feedings are delivered into a peripheral vein 
E) a type of nutrition support in which intravenous feedings are delivered into a central vein
F)a thin tube placed within a narrow lumen (such as a blood vessel) or body cavity; can be used to infuse or withdraw fluids or to keep a passage open
G)the concentration of osmotically active particles in a solution, expressed as milliosmoles per liter (mOsm/L)
H)a parenteral solution that contains dextrose, amino acids, and lipids
I)a parenteral solution that contains dextrose and amino acids but excludes lipids

Question 6

For patients who are tube fed, _____.​

Accepted Answer

A)  ​medications should be given by mouth when possible 
B)  ​all medications should be crushed before placing them in the feeding tube 
C)  ​medications should be administered only when the patient is in a prone position 
D)  ​give all medications before flushing the feeding tube 
E)  ​gastric residual volume is not an important consideration 
A)  ​medications should be given by mouth when possible 
B)  ​all medications should be crushed before placing them in the feeding tube 
C)  ​medications should be administered only when the patient is in a prone position 
D)  ​give all medications before flushing the feeding tube 
E)  ​gastric residual volume is not an important consideration

Question 7

Tube feedings are commonly used for individuals with _____.​

Accepted Answer

A)  ​malabsorption disorders 
B)  ​pancreatitis 
C)  ​severe swallowing difficulties 
D)  ​nonfunctional GI tracts 
E)  ​intestinal blockages 
A)  ​malabsorption disorders 
B)  ​pancreatitis 
C)  ​severe swallowing difficulties 
D)  ​nonfunctional GI tracts 
E)  ​intestinal blockages

Question 8

Enteral formulas that consist of pureed whole foods are called ______.​

Accepted Answer

A)  ​standard 
B)  ​hydrolyzed 
C)  ​blenderized 
D)  ​modular 
E)  ​supplemental 
A)  ​standard 
B)  ​hydrolyzed 
C)  ​blenderized 
D)  ​modular 
E)  ​supplemental

Question 9

Matching
-total nutrient admixture

Accepted Answer

A) the intravenous provision of nutrients that bypasses the GI tract 
B) small-diameter veins that carry blood from the arms and legs 
C) large-diameter veins located close to the heart 
D) a type of nutrition support in which intravenous feedings are delivered into a peripheral vein 
E) a type of nutrition support in which intravenous feedings are delivered into a central vein
F)a thin tube placed within a narrow lumen (such as a blood vessel) or body cavity; can be used to infuse or withdraw fluids or to keep a passage open
G)the concentration of osmotically active particles in a solution, expressed as milliosmoles per liter (mOsm/L)
H)a parenteral solution that contains dextrose, amino acids, and lipids
I)a parenteral solution that contains dextrose and amino acids but excludes lipids 
A) the intravenous provision of nutrients that bypasses the GI tract 
B) small-diameter veins that carry blood from the arms and legs 
C) large-diameter veins located close to the heart 
D) a type of nutrition support in which intravenous feedings are delivered into a peripheral vein 
E) a type of nutrition support in which intravenous feedings are delivered into a central vein
F)a thin tube placed within a narrow lumen (such as a blood vessel) or body cavity; can be used to infuse or withdraw fluids or to keep a passage open
G)the concentration of osmotically active particles in a solution, expressed as milliosmoles per liter (mOsm/L)
H)a parenteral solution that contains dextrose, amino acids, and lipids
I)a parenteral solution that contains dextrose and amino acids but excludes lipids

Question 10

To minimize the risk of aspiration of formula in tube-fed patients, the head of the patient's bed should be elevated _____.​

Accepted Answer

A)  ​after administering the feeding 
B)  ​during administration of the feeding 
C)  ​during and for 30 minutes after administration of the feeding 
D)  ​during and for 1 hour after administration of the feeding 
E)  ​during and for 2 hours after administration of the feeding 
A)  ​after administering the feeding 
B)  ​during administration of the feeding 
C)  ​during and for 30 minutes after administration of the feeding 
D)  ​during and for 1 hour after administration of the feeding 
E)  ​during and for 2 hours after administration of the feeding

Question 11

An ideal formula for a patient is one that _____.​

Accepted Answer

A)  ​meets his/her medical and nutrient needs 
B)  ​is the least expensive 
C)  ​provides fiber 
D)  ​contains lactose 
E)  ​is easiest to administer 
A)  ​meets his/her medical and nutrient needs 
B)  ​is the least expensive 
C)  ​provides fiber 
D)  ​contains lactose 
E)  ​is easiest to administer

Question 12

Compared to enteral nutrition, parenteral nutrition _____.​

Accepted Answer

A)  ​carries a greater risk of complications 
B)  ​is less expensive initially 
C)  ​can be used for longer periods of time 
D)  ​requires hospitalization 
E)  ​is not usually associated with critically ill persons 
A)  ​carries a greater risk of complications 
B)  ​is less expensive initially 
C)  ​can be used for longer periods of time 
D)  ​requires hospitalization 
E)  ​is not usually associated with critically ill persons

Question 13

A "12 French" feeding tube has a diameter of _____.

Accepted Answer

A)  ​2 mm 
B)  ​4 mm 
C)  ​6 mm 
D)  ​8 mm 
E)  ​12 mm 
A)  ​2 mm 
B)  ​4 mm 
C)  ​6 mm 
D)  ​8 mm 
E)  ​12 mm

Question 14

To prevent refeeding syndrome in a severely stressed individual, you would _____.

Accepted Answer

A)  ​start feedings at a slow rate 
B)  ​introduce nutrients by vein 
C)  ​provide vitamin supplements 
D)  ​delay enteral feedings 
E)  ​increase feeding frequency 
A)  ​start feedings at a slow rate 
B)  ​introduce nutrients by vein 
C)  ​provide vitamin supplements 
D)  ​delay enteral feedings 
E)  ​increase feeding frequency

Question 15

Cyclic feedings are conducted over periods of 8 to 16 hours.

Accepted Answer

A) True 
 B)False

Question 16

Which complication of parenteral nutrition is catheter-related?​

Accepted Answer

A)  ​electrolyte imbalance 
B)  ​refeeding syndrome 
C)  ​liver disease 
D)  ​nutrient deficiency 
E)  ​air embolism 
A)  ​electrolyte imbalance 
B)  ​refeeding syndrome 
C)  ​liver disease 
D)  ​nutrient deficiency 
E)  ​air embolism

Question 17

Rapid changes in infusion rates of a parenteral solution can cause _____.​

Accepted Answer

A)  ​fluctuations in blood glucose levels 
B)  ​diarrhea 
C)  ​obstructions 
D)  ​infection 
E)  ​constipation 
A)  ​fluctuations in blood glucose levels 
B)  ​diarrhea 
C)  ​obstructions 
D)  ​infection 
E)  ​constipation

Question 18

A parenteral solution containing 500 mL of a 10% lipid emulsion would provide _____ kcalories.

Accepted Answer

A)  ​550 
B)  ​1000 
C)  ​1500 
D)  ​1800 
E)  ​2000 
A)  ​550 
B)  ​1000 
C)  ​1500 
D)  ​1800 
E)  ​2000

Question 19

To prevent bacterial contamination during tube feedings, care givers must follow all of these recommendations except ____.

Accepted Answer

A)  ​use fresh formula every 48 hours 
B)  ​store open or mixed formula in the refrigerator 
C)  ​never add fresh formula to formula that has been hanging 
D)  ​change the feeding container and tubing every 24 hours 
E)  ​clean the formula lid with alcohol before opening 
A)  ​use fresh formula every 48 hours 
B)  ​store open or mixed formula in the refrigerator 
C)  ​never add fresh formula to formula that has been hanging 
D)  ​change the feeding container and tubing every 24 hours 
E)  ​clean the formula lid with alcohol before opening

Question 20

Candidates for PPN include patients who _____.​

Accepted Answer

A)  ​have fragile peripheral veins 
B)  ​have fluid restrictions 
C)  ​have high nutrient needs 
D)  ​require short-term nutrition support 
E)  ​are also candidates for TPN 
A)  ​have fragile peripheral veins 
B)  ​have fluid restrictions 
C)  ​have high nutrient needs 
D)  ​require short-term nutrition support 
E)  ​are also candidates for TPN

Exam 16: Specialized Nutrition Support - Enteral and Parenteral Nutrition

In PPN, the osmolarity of a feeding solution is usually limited to 500 milliosmoles per liter.​

Describe characteristics of patients who are candidates for PPN.​

Most intestinal feedings are delivered by continuous drip.​

The appropriate placement site for tube feeding in an infant is _____.​

Matching -peripheral veins

For patients who are tube fed, _____.​

Tube feedings are commonly used for individuals with _____.​

Enteral formulas that consist of pureed whole foods are called ______.​

Matching -total nutrient admixture

To minimize the risk of aspiration of formula in tube-fed patients, the head of the patient's bed should be elevated _____.​

An ideal formula for a patient is one that _____.​

Compared to enteral nutrition, parenteral nutrition _____.​

A "12 French" feeding tube has a diameter of _____.

To prevent refeeding syndrome in a severely stressed individual, you would _____.

Cyclic feedings are conducted over periods of 8 to 16 hours.

Which complication of parenteral nutrition is catheter-related?​

Rapid changes in infusion rates of a parenteral solution can cause _____.​

A parenteral solution containing 500 mL of a 10% lipid emulsion would provide _____ kcalories.

To prevent bacterial contamination during tube feedings, care givers must follow all of these recommendations except ____.

Candidates for PPN include patients who _____.​

Overview of Nutrition and Health

Carbohydrates

Lipids

Protein

Digestion and Absorption

Metabolism Energy Balance and Body Composition

Weight Management Overweight and Underweight

The Vitamins

Water and the Minerals

Fitness and Nutrition

Nutrition Through the Life Span Pregnancy and Lactation

Nutrition Through the Life Span Infancy Childhood and Adolescence

Nutrition Through the Life Span Later Adulthood

Illness and Nutrition Care

Medications - Diet Drug Interactions - and Herbal Supplements

Foods and Food Consistency for Upper Gi Disorders

Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders

Carbohydrate - and Fat Modified Diets for Malabsorption Disorders

Nutrition Therapy for Liver and Gallbladder Diseases

Carbohydrate Controlled Diets for Diabetes Mellitus

Fat Controlled - Mineral Modified Diets for Cardiovascular Diseases

Protein - Mineral - and Fluid Modified Diets for Kidney Diseases

Energy - and Protein - Modified Diets for Metabolic and Respiratory Stress

Energy - and Protein - Modified Diets for Cancer and HIV Infection

Filters

In PPN, the osmolarity of a feeding solution is usually limited to 500 milliosmoles per liter.

Describe characteristics of patients who are candidates for PPN.

Most intestinal feedings are delivered by continuous drip.

The appropriate placement site for tube feeding in an infant is _____.

For patients who are tube fed, _____.

Tube feedings are commonly used for individuals with _____.

Enteral formulas that consist of pureed whole foods are called ______.

To minimize the risk of aspiration of formula in tube-fed patients, the head of the patient's bed should be elevated _____.

An ideal formula for a patient is one that _____.

Compared to enteral nutrition, parenteral nutrition _____.

Which complication of parenteral nutrition is catheter-related?

Rapid changes in infusion rates of a parenteral solution can cause _____.

Candidates for PPN include patients who _____.