Chapter 55: Nutritional Supplements

Chapter 55: Nutritional Supplements

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient is receiving a nutritional supplement via an enteral feeding tube. The nurse will monitor for which common adverse effect?

a.	Diarrhea
b.	Constipation
c.	Fluid overload
d.	Heartburn

 

 

ANS:  A

Diarrhea is the most common result of the gastrointestinal intolerance that occurs with nutritional supplementation.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 873

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. An older adult patient needs to receive an enteral supplement to improve her overall nutritional status. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients?

a.	Ensure Plus
b.	Moducal
c.	Propac
d.	Microlipid

 

 

ANS:  A

Ensure Plus is a polymeric formulation that contains complex nutrients, including proteins, carbohydrates, and fats. Moducal provides carbohydrates only; Propac is a protein formulation, and Microlipid supplies only fats (see Box 55-1).

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 873

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has developed anorexia caused by the treatments, so she needs short-term nutrition supplementation. The nurse anticipates that the physician will initiate which therapy?

a.	Central total parenteral nutrition
b.	Peripheral parenteral nutrition
c.	Oral nutritional supplements with meals
d.	Nasogastric enteral supplementation

 

 

ANS:  B

Peripheral parenteral nutrition is indicated for anorexia caused by radiation or cancer chemotherapy. Total parenteral nutrition is indicated for more long-term use. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 875

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. During the night shift, a patient’s total parenteral nutrition (TPN) infusion ran out, and the nurse discovered that there was no TPN solution on hand to continue the infusion. The pharmacy is closed and will not reopen for 5 hours. The nurse will have to implement measures to prevent which consequence of abruptly discontinuing TPN infusions?

a.	Dehydration
b.	Hyperglycemia
c.	Dumping syndrome
d.	Rebound hypoglycemia

 

 

ANS:  D

Rebound hypoglycemia may occur if TPN is discontinued abruptly. It may be prevented by infusion of 10% glucose in situations in which TPN must be stopped abruptly. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 879

TOP:   NURSING PROCESS: Implementation

MSC:   NCLEX: Physiological Integrity: Reduction of Risk Potential