Question 1

What type of nutrition support is appropriate for Ms. Johnson at this time? Why?

Accepted Answer

Total parenteral nutrition is recommende

Question 2

An adult's daily water requirement is about _____ milliliters of water per kg body weight.

Accepted Answer

A)  ​10-20 
B)  ​20-30 
C)  ​30-40 
D)  ​40-50 
E)  ​50-60 
A)  ​10-20 
B)  ​20-30 
C)  ​30-40 
D)  ​40-50 
E)  ​50-60

Question 3

The protein content of most standard formulas ranges from _____ of total kcalories.​

Accepted Answer

A)  ​5-10% 
B)  ​12-20% 
C)  ​25-30% 
D)  ​35-40% 
E)  ​45-50% 
A)  ​5-10% 
B)  ​12-20% 
C)  ​25-30% 
D)  ​35-40% 
E)  ​45-50%

Question 4

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

Accepted Answer

A) True 
 B)False

Question 5

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition helps stimulate or maintain normal gut function.​

Accepted Answer

A) True 
 B)False

Question 6

Which substance is not a component of a parenteral solution given to patients on warfarin?​

Accepted Answer

A)  ​zinc 
B)  ​copper 
C)  ​iron 
D)  ​selenium 
E)  ​vitamin K​ 
A)  ​zinc 
B)  ​copper 
C)  ​iron 
D)  ​selenium 
E)  ​vitamin K​

Question 7

The nutrition support prescribed for Ms. Johnson provides 30% of kcalories from lipids. Why do you think the higher end of the recommended range for lipids was prescribed?​

Accepted Answer

​Ms. Johnson has a history of

Question 8

Which condition does not raise a patient's water requirements?​

Accepted Answer

A)  ​heart disease 
B)  ​severe vomiting 
C)  ​fever 
D)  ​blood loss 
E)  ​diarrhea 
A)  ​heart disease 
B)  ​severe vomiting 
C)  ​fever 
D)  ​blood loss 
E)  ​diarrhea

Question 9

Matching
-osmolarity

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

When transitioning from tube feeding to an oral diet, _____.​

Accepted Answer

A)  ​the formula used for the tube feedings must be given via oral feedings 
B)  ​the tube feeding should be discontinued and an oral diet started immediately 
C)  ​the patient should shift to an oral diet as the volume of the tube feeding is gradually decreased 
D)  ​oral intake should be about 1/3 of estimated nutrient needs when the tube feeding is discontinued 
E)  ​oral intake should not begin until after the tube is removed 
A)  ​the formula used for the tube feedings must be given via oral feedings 
B)  ​the tube feeding should be discontinued and an oral diet started immediately 
C)  ​the patient should shift to an oral diet as the volume of the tube feeding is gradually decreased 
D)  ​oral intake should be about 1/3 of estimated nutrient needs when the tube feeding is discontinued 
E)  ​oral intake should not begin until after the tube is removed

Question 11

The amino acids in a parenteral solution provide _____ kcal per gram.

Accepted Answer

A)  ​2 
B)  ​3.4 
C)  ​4 
D)  ​4.4 
E)  ​9.0 
A)  ​2 
B)  ​3.4 
C)  ​4 
D)  ​4.4 
E)  ​9.0

Question 12

Enteral nutrition is more costly than parenteral nutrition.​

Accepted Answer

A) True 
 B)False

Question 13

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

Accepted Answer

A)  ​is called a hypertonic formula 
B)  ​is referred to as an isotonic formula 
C)  ​has an osmolality of approximately 500 milliosmoles per liter 
D)  ​is usually a hydrolyzed formula 
E)  ​is used only in special cases 
A)  ​is called a hypertonic formula 
B)  ​is referred to as an isotonic formula 
C)  ​has an osmolality of approximately 500 milliosmoles per liter 
D)  ​is usually a hydrolyzed formula 
E)  ​is used only in special cases

Question 14

Parenteral nutrition refers to the delivery of nutrient solutions into _____.​

Accepted Answer

A)  ​the mouth 
B)  ​a vein 
C)  ​the intestines 
D)  ​the stomach 
E)  ​the aorta 
A)  ​the mouth 
B)  ​a vein 
C)  ​the intestines 
D)  ​the stomach 
E)  ​the aorta

Question 15

Matching
-total parenteral nutrition

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 16

An inborn error of metabolism results in the absence, deficiency, or malfunction of a(n) _____.​

Accepted Answer

A)  ​carbohydrate 
B)  ​lipid 
C)  ​protein 
D)  ​fat 
E)  ​ATP molecule 
A)  ​carbohydrate 
B)  ​lipid 
C)  ​protein 
D)  ​fat 
E)  ​ATP molecule

Question 17

A critically ill and malnourished patient should receive TPN by _____ administration.​

Accepted Answer

A)  ​bolus 
B)  ​continuous 
C)  ​cyclic 
D)  ​intermittent 
E)  ​forced 
A)  ​bolus 
B)  ​continuous 
C)  ​cyclic 
D)  ​intermittent 
E)  ​forced

Question 18

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

Accepted Answer

A)  ​gallbladder disease 
B)  ​heart disease 
C)  ​diabetes 
D)  ​cancer 
E)  ​COPD 
A)  ​gallbladder disease 
B)  ​heart disease 
C)  ​diabetes 
D)  ​cancer 
E)  ​COPD

Question 19

Which formula component is helpful in treating diarrhea and constipation and maintaining blood glucose levels?​

Accepted Answer

A)  ​glucose 
B)  ​hypertonicity 
C)  ​fiber 
D)  ​proteins 
E)  ​lipids 
A)  ​glucose 
B)  ​hypertonicity 
C)  ​fiber 
D)  ​proteins 
E)  ​lipids

Question 20

What are the potential metabolic complications with her nutrition support regimen, and which one likely poses the greatest risk for Ms. Johnson at this time? What step can be taken to prevent it?​

Accepted Answer

​The metabolic complications of TPN incl

Exam 16: Specialized Nutrition Support - Enteral and Parenteral Nutrition

What type of nutrition support is appropriate for Ms. Johnson at this time? Why?

An adult's daily water requirement is about _____ milliliters of water per kg body weight.

The protein content of most standard formulas ranges from _____ of total kcalories.​

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

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition helps stimulate or maintain normal gut function.​

Which substance is not a component of a parenteral solution given to patients on warfarin?​

The nutrition support prescribed for Ms. Johnson provides 30% of kcalories from lipids. Why do you think the higher end of the recommended range for lipids was prescribed?​

Which condition does not raise a patient's water requirements?​

Matching -osmolarity

When transitioning from tube feeding to an oral diet, _____.​

The amino acids in a parenteral solution provide _____ kcal per gram.

Enteral nutrition is more costly than parenteral nutrition.​

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

Parenteral nutrition refers to the delivery of nutrient solutions into _____.​

Matching -total parenteral nutrition

An inborn error of metabolism results in the absence, deficiency, or malfunction of a(n) _____.​

A critically ill and malnourished patient should receive TPN by _____ administration.​

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

Which formula component is helpful in treating diarrhea and constipation and maintaining blood glucose levels?​

What are the potential metabolic complications with her nutrition support regimen, and which one likely poses the greatest risk for Ms. Johnson at this time? What step can be taken to prevent it?​

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

The protein content of most standard formulas ranges from _____ of total kcalories.

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

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition helps stimulate or maintain normal gut function.

Which substance is not a component of a parenteral solution given to patients on warfarin?

The nutrition support prescribed for Ms. Johnson provides 30% of kcalories from lipids. Why do you think the higher end of the recommended range for lipids was prescribed?

Which condition does not raise a patient's water requirements?

When transitioning from tube feeding to an oral diet, _____.

Enteral nutrition is more costly than parenteral nutrition.

Parenteral nutrition refers to the delivery of nutrient solutions into _____.

An inborn error of metabolism results in the absence, deficiency, or malfunction of a(n) _____.

A critically ill and malnourished patient should receive TPN by _____ administration.

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

Which formula component is helpful in treating diarrhea and constipation and maintaining blood glucose levels?

What are the potential metabolic complications with her nutrition support regimen, and which one likely poses the greatest risk for Ms. Johnson at this time? What step can be taken to prevent it?