Question 1

parenteral feeding should supply no more than _____ milligrams of dextrose per kilogram of body weight per minute.

Accepted Answer

A)  2
B)  3
C)  4
D)  5 D

Question 2

Metabolic stress can result from uncontrolled infection or extensive tissue injury.

Accepted Answer

A) True 
 B)False  True

Question 3

The nutrition objectives during stress are to provide a diet that does all of the following except:

Accepted Answer

A)  maintains immune defenses.
B)  promotes healing.
C)  increases hypermetabolism.
D)  preserves muscle tissue. C

Question 4

critically ill patients, a high intake of _____ may suppress immune function and increase the risk of developing infections.

Accepted Answer

A)  fat
B)  dextrose
C)  protein
D)  zinc

Question 5

of the following nutrients play a critical role in immunity and wound healing except:

Accepted Answer

A)  zinc.
B)  vitamin A.
C)  vitamin C.
D)  potassium.

Question 6

Nutrition care for patients in acute respiratory failure is aimed at providing a low-fat, high-carbohydrate diet.

Accepted Answer

A) True 
 B)False

Question 7

Recovery from an injury or illness can be hastened by hypermetabolism and positive nitrogen balance.

Accepted Answer

A) True 
 B)False

Question 8

of the initial concerns for the medical team for patients hospitalized with acute stress is to:

Accepted Answer

A)  maintain immune function.
B)  achieve positive nitrogen balance.
C)  minimize nutrient losses.
D)  restore lost fluids and electrolytes.

Question 9

patient with ARDS requires mechanical ventilation.The nurse recognizes that fluid accumulation is a potential problem and understands that this may make it difficult to assess his:

Accepted Answer

A)  weight.
B)  temperature.
C)  kcalorie intake.
D)  fluid intake.

Question 10

Case Study 
Caroline is a 33-year-old female who was struck by a motor vehicle while she was bicycling.She suffered head and chest trauma as well as multiple broken bones.Caroline is in a medically induced coma in the ICU unit following surgery and requires mechanical ventilation due to ARDS.She is being fed enterally.Her mother reports that she is 5'7" tall and weighs approximately 140 pounds.
-What are the potential diet-drug interactions Caroline might experience?

Accepted Answer

The answer of Case Study 
Caroline is a 33-year-old female...

Question 11

Which of the following substances is derived from fatty acids?

Accepted Answer

A)  cortisol
B)  eicosanoids
C)  antihistamines
D)  cytokines

Question 12

Case Study 
Caroline is a 33-year-old female who was struck by a motor vehicle while she was bicycling.She suffered head and chest trauma as well as multiple broken bones.Caroline is in a medically induced coma in the ICU unit following surgery and requires mechanical ventilation due to ARDS.She is being fed enterally.Her mother reports that she is 5'7" tall and weighs approximately 140 pounds.
-Where is Caroline's feeding tube likely located? Why?

Accepted Answer

The answer of Case Study 
Caroline is a 33-year-old female...

Question 13

of the following are therapies used to manage MODS except:

Accepted Answer

A)  mechanical ventilation.
B)  fluid resuscitation.
C)  hemofiltration or dialysis.
D)  physical therapy.

Question 14

Case Study Questions
Use the following case study to answer questions 
Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident.She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition.Kati is 5'2" tall and weighs 115 pounds.
-Kati's protein needs will likely be calculated using a range of:

Accepted Answer

A)  0.6 to 0.8 g/kg.
B)  0.8 to 1.0 g/kg.
C)  1.2 to 2 g/kg.
D)  2 to 3 g/kg.

Question 15

Case Study Questions
Use the following case study to answer questions 
Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident.She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition.Kati is 5'2" tall and weighs 115 pounds.
-frequent cause of death among older intensive care patients with multiple or severe injuries is:

Accepted Answer

A)  pulmonary edema.
B)  heart attack.
C)  multiple organ dysfunction syndrome.
D)  stroke.

Question 16

Case Study Questions
Use the following case study to answer questions 
Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident.She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition.Kati is 5'2" tall and weighs 115 pounds.
-decrease the risk of infection, it will be important to keep Kati's _____ under control while she is recovering.

Accepted Answer

A)  serum albumin
B)  blood glucose
C)  blood pressure
D)  serum prealbumin

Question 17

nurse understands that the inflammatory process can cause a variety of systemic effects and monitors her patient's:

Accepted Answer

A)  heart rate, respiratory rate, and temperature.
B)  heart rate, appetite, and blood pressure.
C)  blood pressure, temperature, and appetite.
D)  blood pressure, heart rate, and weight.

Question 18

The symptoms associated with the whole-body inflammatory response to severe illness are collectively called the systemic inflammatory response syndrome.

Accepted Answer

A) True 
 B)False

Question 19

patient is admitted to the ER with multiple gunshot wounds.The nurse understands that the initial treatment includes:

Accepted Answer

A)  beginning enteral nutrition.
B)  administering IV fluids.
C)  beginning PPN.
D)  referral to the dietitian.

Question 20

principal infection associated with MODS is:

Accepted Answer

A)  pneumonia.
B)  a fungal infection.
C)  herpes simplex.
D)  a viral infection.

Exam 24: Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

parenteral feeding should supply no more than _____ milligrams of dextrose per kilogram of body weight per minute.

Metabolic stress can result from uncontrolled infection or extensive tissue injury.

The nutrition objectives during stress are to provide a diet that does all of the following except:

critically ill patients, a high intake of _____ may suppress immune function and increase the risk of developing infections.

of the following nutrients play a critical role in immunity and wound healing except:

Nutrition care for patients in acute respiratory failure is aimed at providing a low-fat, high-carbohydrate diet.

Recovery from an injury or illness can be hastened by hypermetabolism and positive nitrogen balance.

of the initial concerns for the medical team for patients hospitalized with acute stress is to:

patient with ARDS requires mechanical ventilation.The nurse recognizes that fluid accumulation is a potential problem and understands that this may make it difficult to assess his:

Which of the following substances is derived from fatty acids?

of the following are therapies used to manage MODS except:

nurse understands that the inflammatory process can cause a variety of systemic effects and monitors her patient's:

The symptoms associated with the whole-body inflammatory response to severe illness are collectively called the systemic inflammatory response syndrome.

patient is admitted to the ER with multiple gunshot wounds.The nurse understands that the initial treatment includes:

principal infection associated with MODS is: