Question 1

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 2

Patients experiencing severe physiological stress increase their nutritional requirements to:

Accepted Answer

A)  20 kcal/kg/day. 
B)  30 kcal/kg/day. 
C)  35 kcal/kg/day. 
D)  50 kcal/kg/day.

Question 3

A patient who is receiving continuous enteral feedings has just vomited 250 mL of milky green fluid.This is a concern because this most likely demonstrates that the patient has:

Accepted Answer

A)  a bowel obstruction. 
B)  developed an ileus. 
C)  gastrointestinal bleeding. 
D)  tube feeding intolerance.

Question 4

The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______________,_______________,_______________,_______________,_______________.(Put a comma and space between each solve  choice.) 
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...

Question 5

A patient is receiving enteral feedings and has just vomited 250 mL of milky green liquid.The nurse holds the tube feeding,which had been infusing at 100 mL/hr.The nurse knows that the next action should be:

Accepted Answer

A)  connect the feeding tube to suction. 
B)  continue the tube feeding. 
C)  decrease the tube feeding. 
D)  recheck the residual in 2 hours.

Question 6

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 7

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 8

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.

Question 9

Malnutrition contributes to infection risk by:

Accepted Answer

A)  hampering normal gastrointestinal motility. 
B)  impairing immune function. 
C)  increasing blood glucose. 
D)  increasing drug interactions.

Question 10

A patient's feeding tube has been successfully placed in the small intestine with continuous flow tube feeding.The nurse knows that this approach was chosen because:

Accepted Answer

A)  intermittent feedings cause increased nausea and vomiting. 
B)  the increased filling of the stomach increases absorption. 
C)  the intestinal mucosa normally receives nutrients from the stomach in peristaltic waves. 
D)  this will prevent malabsorption syndrome.

Exam 6: Nutritional Support