Question 1

Which form of nutrition support is appropriate for Mr.Avery at this time?

Accepted Answer

A) total parenteral nutrition 
B) tube feeding 
C) oral enteral supplement 
D) peripheral parenteral nutrition 
A) total parenteral nutrition 
B) tube feeding 
C) oral enteral supplement 
D) peripheral parenteral nutrition B

Question 2

In the absence of any pre-existing medical problems or problems with digestion and absorption, the type of enteral formula that would be most appropriate for Mr.Avery is a(n):

Accepted Answer

A) standard formula. 
B) elemental formula. 
C) specialized formula. 
D) 3-in-1 solution. 
A) standard formula. 
B) elemental formula. 
C) specialized formula. 
D) 3-in-1 solution. A

Question 3

Identify specific conditions that necessitate the use of TPN by central vein.

Accepted Answer

Total Parenteral Nutrition (TPN) by central vein is necessary in specific conditions where the patient is unable to tolerate enteral feeding or has a non-functioning gastrointestinal tract. This may include conditions such as severe pancreatitis, bowel obstruction, short bowel syndrome, or severe malabsorption. Additionally, patients who are critically ill and unable to consume adequate nutrients orally may also require TPN via central vein. It is important to use TPN in these specific conditions to ensure that the patient receives essential nutrients and calories to support their nutritional needs and overall health.

Question 4

Mr.Johnson is severely malnourished, is at high risk for aspiration, and may need nutrition support for several weeks.The nurse recognizes that Mr.Johnson should be placed on:

Accepted Answer

A) conventional foods plus liquid supplements. 
B) a simple IV solution. 
C) peripheral parenteral nutrition. 
D) total parenteral nutrition by central vein. 
A) conventional foods plus liquid supplements. 
B) a simple IV solution. 
C) peripheral parenteral nutrition. 
D) total parenteral nutrition by central vein.

Question 5

Patients undergoing severe metabolic stress may develop hyperglycemia, which is a common complication associated with TPN.

Accepted Answer

A) True 
 B)False

Question 6

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

Accepted Answer

A) nasojejunal tube 
B) continuous feeding 
C) nasogastric tube 
D) bolus feeding 
A) nasojejunal tube 
B) continuous feeding 
C) nasogastric tube 
D) bolus feeding

Question 7

Which of Mr.Edward's conditions requires that he be kept NPO?

Accepted Answer

A) history of alcoholism 
B) pancreatitis with vomiting 
C) malnutrition with wasting 
D) end-stage cancer 
A) history of alcoholism 
B) pancreatitis with vomiting 
C) malnutrition with wasting 
D) end-stage cancer

Question 8

All of the following are ways to prevent bacterial contamination of open system tube feedings except:

Accepted Answer

A) using fresh formula every 48 hours. 
B) storing open or mixed formula in the refrigerator. 
C) never adding fresh formula to formula that has been hanging. 
D) changing the feeding container and tubing every 24 hours. 
A) using fresh formula every 48 hours. 
B) storing open or mixed formula in the refrigerator. 
C) never adding fresh formula to formula that has been hanging. 
D) changing the feeding container and tubing every 24 hours.

Question 9

Lipid infusions must be restricted in patients with:

Accepted Answer

A) diseases that require fluid restriction. 
B) hypertriglyceridemia. 
C) hyperglycemia. 
D) hyperkalemia. 
A) diseases that require fluid restriction. 
B) hypertriglyceridemia. 
C) hyperglycemia. 
D) hyperkalemia.

Question 10

_____ formulas are made from whole foods and derive their protein primarily from pureed meat or poultry.

Accepted Answer

A) Standard 
B) Hydrolyzed 
C) Blenderized 
D) Modular 
A) Standard 
B) Hydrolyzed 
C) Blenderized 
D) Modular

Question 11

Only when people cannot meet their nutrient needs using the enteral route should they receive total parenteral or intravenous (IV) nutrition support.

Accepted Answer

A) True 
 B)False

Question 12

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

Accepted Answer

A) total parenteral nutrition. 
B) an intermittent feeding. 
C) an oral supplement. 
D) peripheral parenteral nutrition. 
A) total parenteral nutrition. 
B) an intermittent feeding. 
C) an oral supplement. 
D) peripheral parenteral nutrition.

Question 13

A condition that may develop when a severely malnourished person is aggressively fed is called:

Accepted Answer

A) shock. 
B) refeeding syndrome. 
C) translocation. 
D) systemic inflammatory response syndrome. 
A) shock. 
B) refeeding syndrome. 
C) translocation. 
D) systemic inflammatory response syndrome.

Question 14

Enteral formulas may be used orally to supplement a patient's diet.When this occurs, _____ becomes an important consideration.

Accepted Answer

A) taste 
B) cost 
C) osmolality 
D) kcalorie content 
A) taste 
B) cost 
C) osmolality 
D) kcalorie content

Question 15

Lipid emulsions that contain excessive linoleic acid may:

Accepted Answer

A) hamper immune responses. 
B) minimize negative nitrogen balance. 
C) spare vital protein. 
D) contribute to hyperglycemia. 
A) hamper immune responses. 
B) minimize negative nitrogen balance. 
C) spare vital protein. 
D) contribute to hyperglycemia.

Question 16

Enteral nutrition is more costly than parenteral nutrition.

Accepted Answer

A) True 
 B)False

Question 17

Describe the proper administration of tube feedings.

Accepted Answer

Proper administration of tube feedings i

Question 18

To minimize the possibility of aspiration of formula in tube-fed clients, the head of the client's bed should be elevated:

Accepted Answer

A) after administering the feeding. 
B) during administration of the feeding. 
C) during and for 30-60 minutes after administration of the feeding. 
D) during and for 2-3 hours after administration of the feeding. 
A) after administering the feeding. 
B) during administration of the feeding. 
C) during and for 30-60 minutes after administration of the feeding. 
D) during and for 2-3 hours after administration of the feeding.

Question 19

The nurse understands that a gastric feeding is preferred when possible because:

Accepted Answer

A) the stomach controls the rate at which nutrients enter the intestine. 
B) there is less risk of aspiration. 
C) it is more cost efficient than intestinal feedings. 
D) it enhances nutrient absorption. 
A) the stomach controls the rate at which nutrients enter the intestine. 
B) there is less risk of aspiration. 
C) it is more cost efficient than intestinal feedings. 
D) it enhances nutrient absorption.

Question 20

Which of the following trace minerals is not included in a parenteral solution?

Accepted Answer

A) zinc 
B) copper 
C) iron 
D) selenium 
A) zinc 
B) copper 
C) iron 
D) selenium

Exam 15: Enteral and Parenteral Nutrition Support

Which form of nutrition support is appropriate for Mr.Avery at this time?

In the absence of any pre-existing medical problems or problems with digestion and absorption, the type of enteral formula that would be most appropriate for Mr.Avery is a(n):

Identify specific conditions that necessitate the use of TPN by central vein.

Mr.Johnson is severely malnourished, is at high risk for aspiration, and may need nutrition support for several weeks.The nurse recognizes that Mr.Johnson should be placed on:

Patients undergoing severe metabolic stress may develop hyperglycemia, which is a common complication associated with TPN.

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

Which of Mr.Edward's conditions requires that he be kept NPO?

All of the following are ways to prevent bacterial contamination of open system tube feedings except:

Lipid infusions must be restricted in patients with:

_____ formulas are made from whole foods and derive their protein primarily from pureed meat or poultry.

Only when people cannot meet their nutrient needs using the enteral route should they receive total parenteral or intravenous (IV) nutrition support.

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

A condition that may develop when a severely malnourished person is aggressively fed is called:

Enteral formulas may be used orally to supplement a patient's diet.When this occurs, _____ becomes an important consideration.

Lipid emulsions that contain excessive linoleic acid may:

Enteral nutrition is more costly than parenteral nutrition.

Describe the proper administration of tube feedings.

To minimize the possibility of aspiration of formula in tube-fed clients, the head of the client's bed should be elevated:

The nurse understands that a gastric feeding is preferred when possible because:

Which of the following trace minerals is not included in a parenteral solution?

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

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

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