Nutrition And Diet Therapy- 6th Edition by Carroll A. Lutz and Erin E. Mazur
Nutrition And Diet Therapy- 6th Edition by Carroll A. Lutz and Erin E. Mazur
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Chapter 14: Nutrient Delivery
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Ans: 2
| Feedback | |
| 1. | Iatrogenic malnutrition refers to physician- or institution-induced malnutrition. Estimating the client’s energy expenditure, although helpful in evaluating nutrition overall, would have little or no effect on physician or institution practices causing malnutrition. |
| 2. | Iatrogenic malnutrition refers to physician- or institution-induced malnutrition. Regularly recording and monitoring a client’s weight would be helpful in evaluating the effect of practices on the client’s nutritional status. |
| 3. | Iatrogenic malnutrition refers to physician- or institution-induced malnutrition. Ordering a complete nutritional supplement might be helpful for poor eaters overall but have little if any effect on practices causing malnutrition. |
| 4. | Iatrogenic malnutrition refers to physician- or institution-induced malnutrition. Encouraging clients to clean their plate would have little if any effect on practices that cause malnutrition. |
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Application
Ans: 2
| Feedback | |
| 1. | CPN is started slowly with clear instructions for increasing the volume. |
| 2. | CPN requires close monitoring of the infusion, maintaining a constant rate of infusion, and monitoring laboratory values to detect metabolic complications. |
| 3. | CPN requires the use of standardized protocols that must be followed by all health-care professionals. |
| 4. | CPN requires a strict schedule. |
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies | Cognitive Level: Application
Ans: 2
| Feedback | |
| 1. | A constant continuously dripping feeding would provide the feeding slowly over a period of time allowing the client’s body to adjust to the formula and preventing overdistention, bloating, and subsequently diarrhea. |
| 2. | Giving a feeding too rapidly does not allow the body to adjust to the feeding, leading to bloating, cramping, and then diarrhea. |
| 3. | Overhydration would lead to fluid overload and symptoms associated with heart failure. |
| 4. | Using an infusion would ensure that the tube feeding is given at the proper rate, thus reducing the risk for diarrhea. |
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Physiological Adaptation | Cognitive Level: Application
Ans: 3
| Feedback | |
| 1. | Each medication should be administered separately, and the tube should be flushed with 15 mL of sterile water between each medication. The medication should not be added directly to the formula. |
| 2. | The medication given must be one that is in liquid form or that can be crushed. If the medication has a coating, the nurse should check with the pharmacist first to see if it can be crushed. The hard coating may be an enteric coating and the medication should not be crushed. |
| 3. | The nurse should always flush the tube with at least 30 mL of sterile water before giving the medication and before restarting the tube feeding. |
| 4. | Each medication should be given separately and the nurse should flush the tube with 15 mL of sterile water after each medication. |
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies | Cognitive Level: Application
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