Question 1

Describe the procedure for inserting a nasogastric feeding tube.

Accepted Answer

​Registered dietitians (RDs) may be responsible for insertion of nasogastric or nasointestinal feeding tubes for adults in some institutions. A recent review of this practice found a 66% reduction of hospital costs associated with tube insertion along with a shorter time for insertion and a shorter time for feeding initiation in institutions where the RD is responsible for bedside placement of postpyloric feeding tubes. Box 5.3 summarizes the protocol for the insertion of tubes in adults. (See the "Equipment" section later in the chapter for more information about the tubes and other supplies involved.)

Question 2

The first decision to make when designing the nutrition prescription is how to establish access to the gastrointestinal tract.

Accepted Answer

A) True 
 B)False  True

Question 3

The Hickman® catheter is an example of which type of catheter used for parenteral nutrition?

Accepted Answer

A)  ​peripherally inserted central catheter 
B)  ​non-tunneled catheter 
C)  ​implantable port 
D)  ​tunneled catheter 
E)  ​Swan-Ganz catheter 
A)  ​peripherally inserted central catheter 
B)  ​non-tunneled catheter 
C)  ​implantable port 
D)  ​tunneled catheter 
E)  ​Swan-Ganz catheter D

Question 4

List and describe the three different types of enteral feeding methods.

Accepted Answer

​Bolus feedings consist of the administr

Question 5

_______________ is added to formulas and is generally thought to improve stool consistency and reduce diarrhea.

Accepted Answer

The answer of _______________ is added to formulas and is...

Question 6

A registered dietitian is assisting with placement of a nasogastric tube in a patient. The patient has just received a dose of metoclopramide (Reglan). What is the next appropriate step in the process?

Accepted Answer

A)  ​Insert the tube in the patient's nose and advance the tube 
B)  ​Obtain an abdominal radiograph 
C)  ​Remove the stylet from the tube 
D)  ​Measure for gastric placement 
E)  ​Tape the tube to the patient's nose 
A)  ​Insert the tube in the patient's nose and advance the tube 
B)  ​Obtain an abdominal radiograph 
C)  ​Remove the stylet from the tube 
D)  ​Measure for gastric placement 
E)  ​Tape the tube to the patient's nose

Question 7

Up to 40% of nursing home patients exhibit some signs of malnutrition.

Accepted Answer

A) True 
 B)False

Question 8

Short-chain fatty acids are used by the intestinal cells, called _______________, as fuel and play a role in maintaining gastrointestinal integrity.

Accepted Answer

The answer of Short-chain fatty acids are used by the...

Question 9

The thickness of a liquid is known as its:

Accepted Answer

A)  ​osmolality. 
B)  ​viscosity. 
C)  ​nutrient density. 
D)  ​osmolarity. 
E)  ​coagulation. 
A)  ​osmolality. 
B)  ​viscosity. 
C)  ​nutrient density. 
D)  ​osmolarity. 
E)  ​coagulation.

Question 10

Which type of medication would most likely be added to parenteral nutrition solution for patient care?

Accepted Answer

A)  ​acetaminophen 
B)  ​keterolac 
C)  ​fentanyl 
D)  ​cimetidine 
E)  ​demerol 
A)  ​acetaminophen 
B)  ​keterolac 
C)  ​fentanyl 
D)  ​cimetidine 
E)  ​demerol

Question 11

Which example is not considered to be a contraindication to enteral feeding?

Accepted Answer

A)  ​diffuse peritonitis 
B)  ​intestinal obstruction 
C)  ​GI bleeding 
D)  ​impaired swallowing 
E)  ​intractable vomiting 
A)  ​diffuse peritonitis 
B)  ​intestinal obstruction 
C)  ​GI bleeding 
D)  ​impaired swallowing 
E)  ​intractable vomiting

Question 12

A nutritionally unstable patient who is receiving enteral feedings should have fluid status assessed at least:

Accepted Answer

A)  ​every day. 
B)  ​3 times per week. 
C)  ​every week. 
D)  ​every 1-2 weeks. 
E)  ​prn. 
A)  ​every day. 
B)  ​3 times per week. 
C)  ​every week. 
D)  ​every 1-2 weeks. 
E)  ​prn.

Question 13

The outer lumen diameter of a feeding tube is described using a measurement called _______________ size.

Accepted Answer

The answer of The outer lumen diameter of a feeding...

Question 14

Which describes a true statement about continuous enteral feedings?

Accepted Answer

A)  ​They are administered several times a day -- every 30 minutes. 
B)  ​They may be administered by gravity from a container suspended above the patient. 
C)  ​They consist of the administration of approximately 250 mL of formula at a time. 
D)  ​They are usually more time consuming for staff to administer. 
E)  ​They require a pump and other equipment to administer. 
A)  ​They are administered several times a day -- every 30 minutes. 
B)  ​They may be administered by gravity from a container suspended above the patient. 
C)  ​They consist of the administration of approximately 250 mL of formula at a time. 
D)  ​They are usually more time consuming for staff to administer. 
E)  ​They require a pump and other equipment to administer.

Question 15

Which of the following actions is appropriate to prevent a clogged feeding tube?

Accepted Answer

A)  ​Instill heparin into the tubing 
B)  ​Slow the feeding to run at ½ the normal rate for one hour a day 
C)  ​Use a small volume syringe and add air into the tube 
D)  ​Flush with 25 mL of tap water several times a day 
E)  ​Reinsert the stylet that was used during tube placement 
A)  ​Instill heparin into the tubing 
B)  ​Slow the feeding to run at ½ the normal rate for one hour a day 
C)  ​Use a small volume syringe and add air into the tube 
D)  ​Flush with 25 mL of tap water several times a day 
E)  ​Reinsert the stylet that was used during tube placement

Question 16

List the steps of determining the nutrition prescription.

Accepted Answer

​To determine the nutrition prescription

Question 17

Give two examples of each of the following: short-term venous access, long-term venous access.

Accepted Answer

​Types of short-term venous access inclu

Question 18

Benefits attributed to fiber, particularly improved bowel function, have more often been associated with insoluble fiber.

Accepted Answer

A) True 
 B)False

Question 19

Which patient is at highest risk of aspiration when receiving an enteral feeding?

Accepted Answer

A)  ​A patient with Crohn's disease 
B)  ​A pregnant patient 
C)  ​A patient with an endotracheal tube 
D)  ​A patient with celiac disease 
E)  ​A patient with a concurrent diagnosis of cancer 
A)  ​A patient with Crohn's disease 
B)  ​A pregnant patient 
C)  ​A patient with an endotracheal tube 
D)  ​A patient with celiac disease 
E)  ​A patient with a concurrent diagnosis of cancer

Question 20

_______________ is a term used to describe several common metabolic alterations that may occur during nutritional repletion of patients who are malnourished or in a state of starvation.

Accepted Answer

The answer of _______________ is a term used to describe...

Exam 5: Enteral and Parental Nutrition Support

Describe the procedure for inserting a nasogastric feeding tube.

The first decision to make when designing the nutrition prescription is how to establish access to the gastrointestinal tract.

The Hickman® catheter is an example of which type of catheter used for parenteral nutrition?

List and describe the three different types of enteral feeding methods.

_______________ is added to formulas and is generally thought to improve stool consistency and reduce diarrhea.

A registered dietitian is assisting with placement of a nasogastric tube in a patient. The patient has just received a dose of metoclopramide (Reglan). What is the next appropriate step in the process?

Up to 40% of nursing home patients exhibit some signs of malnutrition.

Short-chain fatty acids are used by the intestinal cells, called _______________, as fuel and play a role in maintaining gastrointestinal integrity.

The thickness of a liquid is known as its:

Which type of medication would most likely be added to parenteral nutrition solution for patient care?

Which example is not considered to be a contraindication to enteral feeding?

A nutritionally unstable patient who is receiving enteral feedings should have fluid status assessed at least:

The outer lumen diameter of a feeding tube is described using a measurement called _______________ size.

Which describes a true statement about continuous enteral feedings?

Which of the following actions is appropriate to prevent a clogged feeding tube?

List the steps of determining the nutrition prescription.

Give two examples of each of the following: short-term venous access, long-term venous access.

Benefits attributed to fiber, particularly improved bowel function, have more often been associated with insoluble fiber.

Which patient is at highest risk of aspiration when receiving an enteral feeding?

_______________ is a term used to describe several common metabolic alterations that may occur during nutritional repletion of patients who are malnourished or in a state of starvation.

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment - Foundation of the Nutrition Care Process

Nutrition Intervention and Nutrition Monitoring and Evaluation

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid Base Balance

Cellular and Physiological Response to Injury - the Role of the Immune System

Nutritional Genomics

Pharmacology

Diseases and Disorders of Energy Imbalance

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointenstinal Tract

Diseases of the Liver - Gallbladder - and Exocrine Pancreas

Diseases of the Endocrine System

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

HIV and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

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