Question 1

A patient with acute pancreatitis is started on parenteral nutrition.The student nurse listed possible interventions for this patient.Which intervention needs correction before finalizing the plan of care?

Accepted Answer

A)  Change the intravenous tubing every 24 hours. 
B)  Infuse antibiotics through the intravenous line. 
C)  Monitor the blood glucose every 6 hours. 
D)  Monitor the fluid and electrolyte balance.

Question 2

A patient,who has a tube feeding,requires a chest x-ray study for evaluation of a cough.To reduce the risk of aspiration,the nurse:

Accepted Answer

A)  helps the radiology technician to position the patient to avoid dislodging the tube. 
B)  slows the rate of the feedings until placement has been verified. 
C)  cuts the infusion rate by half. 
D)  stops feedings 10 to 15 minutes before placing flat to obtain the radiograph.

Question 3

Select the physiological reasoning behind enteral therapy as the preferred source of nutritional therapy.

Accepted Answer

A)  Gut overgrowth increases. 
B)  Gastroparesis increases. 
C)  Bacterial translocation is initiated. 
D)  Gut mucosa is preserved.

Question 4

A patient is receiving enteral tube feedings and has developed drug-nutrient interactions.The nurse recognizes which drug as having the potential for causing drug-nutrient reactions?

Accepted Answer

A)  Aspirin 
B)  Enoxaparin 
C)  Ibuprofen 
D)  Phenytoin

Question 5

A patient has been admitted to the critical care unit after a stroke.After "failing" a swallow study,the patient is placed on enteral feedings.Following placement of a nasogastric tube for tube feeding,what is the next critical step?

Accepted Answer

A)  Administer medications. 
B)  Cap off and wait 24 hours before starting feedings. 
C)  Obtain a chest radiograph. 
D)  Start the tube feeding.

Question 6

Calorie-dense feedings: (Select all that apply.)

Accepted Answer

A)  are most useful in heart failure and liver disease. 
B)  are most useful in malabsorption syndromes. 
C)  contain 2 kcal/mL and 70 g protein/L. 
D)  include increased fiber. 
E)  are especially good for patients with lung disease.

Question 7

Risks of total parenteral nutrition include: (Select all that apply.)

Accepted Answer

A)  diarrhea. 
B)  elevated blood sugar. 
C)  infection at the catheter site. 
D)  volume overload. 
E)  aspiration.

Question 8

A patient is being fed through a nasogastric tube placed in his stomach.The nurse would carry out which intervention to minimize aspiration risk?

Accepted Answer

A)  Add blue dye to the formula. 
B)  Assess the residual every hour. 
C)  Elevate the head of the bed 30 degrees. 
D)  Provide feedings via continuous infusion.

Question 9

The best nursing approach to prevent feeding tube obstruction is to

Accepted Answer

A)  dilute the feeding to make it flow more easily. 
B)  flush the tube every 4 hours with 20 to 30 mL of tap water. 
C)  pass a stylet daily to keep the tubing clear. 
D)  use a larger bore tube where possible.

Question 10

The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______________,_______________,_______________,_______________,_______________.
A)initiate tube feeding
B)insert feeding tube
C)flush tube to verify patency
D)obtain chest radiograph
E)assess residuals

Accepted Answer

The answer of The correct order of actions for a...

Exam 6: Nutritional Support

A patient with acute pancreatitis is started on parenteral nutrition.The student nurse listed possible interventions for this patient.Which intervention needs correction before finalizing the plan of care?

A patient,who has a tube feeding,requires a chest x-ray study for evaluation of a cough.To reduce the risk of aspiration,the nurse:

Select the physiological reasoning behind enteral therapy as the preferred source of nutritional therapy.

A patient is receiving enteral tube feedings and has developed drug-nutrient interactions.The nurse recognizes which drug as having the potential for causing drug-nutrient reactions?

A patient has been admitted to the critical care unit after a stroke.After "failing" a swallow study,the patient is placed on enteral feedings.Following placement of a nasogastric tube for tube feeding,what is the next critical step?

Calorie-dense feedings: (Select all that apply.)

Risks of total parenteral nutrition include: (Select all that apply.)

A patient is being fed through a nasogastric tube placed in his stomach.The nurse would carry out which intervention to minimize aspiration risk?

The best nursing approach to prevent feeding tube obstruction is to

The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______,_,_,_,_________. A)initiate tube feeding B)insert feeding tube C)flush tube to verify patency D)obtain chest radiograph E)assess residuals

Exam 6: Nutritional Support

A patient with acute pancreatitis is started on parenteral nutrition.The student nurse listed possible interventions for this patient.Which intervention needs correction before finalizing the plan of care?

A patient,who has a tube feeding,requires a chest x-ray study for evaluation of a cough.To reduce the risk of aspiration,the nurse:

Select the physiological reasoning behind enteral therapy as the preferred source of nutritional therapy.

A patient is receiving enteral tube feedings and has developed drug-nutrient interactions.The nurse recognizes which drug as having the potential for causing drug-nutrient reactions?

A patient has been admitted to the critical care unit after a stroke.After "failing" a swallow study,the patient is placed on enteral feedings.Following placement of a nasogastric tube for tube feeding,what is the next critical step?

Calorie-dense feedings: (Select all that apply.)

Risks of total parenteral nutrition include: (Select all that apply.)

A patient is being fed through a nasogastric tube placed in his stomach.The nurse would carry out which intervention to minimize aspiration risk?

The best nursing approach to prevent feeding tube obstruction is to

The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______________,_______________,_______________,_______________,_______________. A)initiate tube feeding B)insert feeding tube C)flush tube to verify patency D)obtain chest radiograph E)assess residuals

The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______,_,_,_,_________. A)initiate tube feeding B)insert feeding tube C)flush tube to verify patency D)obtain chest radiograph E)assess residuals