Nutrition Therapy and Pathophysiology 3rd Edition by Marcia Nahikian - Test Bank Instant Download - Complete Test Bank With Answers Sample Questions Are Posted Below 1. Which example is not considered to be a contraindication to enteral feeding? a. diffuse peritonitis b. intestinal obstruction c. GI bleeding d. …
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Nutrition Therapy and Pathophysiology 3rd Edition by Marcia Nahikian – Test Bank
Instant Download – Complete Test Bank With Answers
Sample Questions Are Posted Below
1. Which example is not considered to be a contraindication to enteral feeding?
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2. Which is an example of a research-supported reason to use enteral nutrition support?
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3. The means of prescribing a very small rate of enteral nutrition with the goal to minimize villous atrophy is known as:
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4. A registered dietitian is assisting with placement of a nasogastric tube in a patient. The patient has just received a dose of metoclopramide (Reglan). What is the next appropriate step in the process?
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5. Which best describes a disadvantage of using a nasogastric tube in a patient?
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6. A surgeon places a feeding tube that provides nutrients directly into the patient’s stomach. This type of tube is called a:
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7. The thickness of a liquid is known as its:
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8. The protein component of most enteral formulas comes from:
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9. Which best describes an advantage of a percutaneous endoscopic gastrostomy (PEG) tube?
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10. The usual nutrient density of enteral formulas ranges between:
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11. For the critically ill patient in the hospital, enteral feedings should be advanced to meet the nutrition prescription within:
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12. Which describes a true statement about continuous enteral feedings?
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13. The first step in determining the enteral nutrition prescription is to:
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14. Which patient is at highest risk of aspiration when receiving an enteral feeding?
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15. A nutritionally unstable patient who is receiving enteral feedings should have fluid status assessed at least:
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16. Which of the following actions is appropriate to prevent a clogged feeding tube?
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17. Which patient is most likely at risk of refeeding syndrome?
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18. Which of the following nursing interventions is appropriate to reduce the risk of aspiration during enteral feedings?
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19. Which is an example of a true statement regarding peripheral parenteral nutrition (PPN)?
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20. In which condition would parenteral nutrition most likely be indicated?
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21. Which statement regarding an implantable port would be considered true?
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22. Which describes an advantage of compounding parenteral solutions in the hospital pharmacy?
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23. The primary source of carbohydrate in parenteral nutrition comes from:
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24. The minimum amount of carbohydrate found in parenteral nutrition as specified by the DRI is:
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25. Which element is not added routinely to standard parenteral nutrition formulas?
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| 26. How much folic acid is typically required in an adult preparation of parenteral nutrition?
2 mg
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27. Which condition is an example of a gastrointestinal complication that may develop with parenteral feedings?
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28. Which situation must be considered when making a decision to start parenteral nutrition?
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29. The Hickman® catheter is an example of which type of catheter used for parenteral nutrition?
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30. A three-in-one solution of parenteral nutrition prepared by an automated compounder contains:
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31. A lipid-based drug that is often administered to the critically ill patient is called:
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32. Which type of medication would most likely be added to parenteral nutrition solution for patient care?
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33. Which type of complication is most often associated with parenteral nutrition administration?
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34. Which best describes a common consequence of malnutrition?
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35. Which describes recommended criteria for use of enteral feedings in a pediatric patient?
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| Case Study Multiple Choice
You have an 80 yo M patient that has end-stage Alzheimer’s disease and has recently been diagnosed with severe dysphagia. This patient is getting ready for discharge from the hospital. His height is 5’ 9’’ and he weighs 162# with no recent changes in weight. |
36. How many grams of protein per kilogram of body weight does this patient need?
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37. Calculate the daily fluid requirements for this patient.
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38. Which is the correct amount of kcalories needed daily for this patient to maintain normal body weight?
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39. Which method of providing enteral nutrition would be most appropriate for this patient?
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40. Which situation would require that the patient change from enteral nutrition to parenteral nutrition?
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41. Up to 40% of nursing home patients exhibit some signs of malnutrition.
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42. In the geriatric population, nutrition support may not be initiated until oral intake has declined precipitously due to advanced progression of diseases.
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43. The first decision to make when designing the nutrition prescription is how to establish access to the gastrointestinal tract.
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44. Post-pyloric access is most often used when the patient is at high risk of aspiration.
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45. One of the most common disadvantages of surgical gastrostomy tubes is that they become dislodged easily.
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46. Recent research has reexamined the use of blenderized feedings and has demonstrated improved tolerance in some children with feeding disorders.
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47. Benefits attributed to fiber, particularly improved bowel function, have more often been associated with insoluble fiber.
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48. Enteral formulas are often the sole source of water for patients receiving them.
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49. Peripheral parenteral nutrition requires large volumes to meet nutritional needs, which makes this route unacceptable for any fluid-restricted patient.
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50. Parenteral solutions may contain as many as 5 different items when they are initially compounded.
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51. Enteral nutrition refers to delivery of nutrients distal to the oral cavity of the gastrointestinal tract via a tube, catheter, or _______________.
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52. Feeding access is achieved when a feeding tube is placed into the stomach or _______________.
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53. _______________ feeding tubes enter the gastrointestinal tract through the nose and reside in the duodenum or jejunum.
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54. Among infants, _______________ or _______________ are typically used for enteral feedings.
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55. Short-chain fatty acids are used by the intestinal cells, called _______________, as fuel and play a role in maintaining gastrointestinal integrity.
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56. _______________ is added to formulas and is generally thought to improve stool consistency and reduce diarrhea.
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57. A substance that is water loving or that attracts water is said to be _______________.
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58. The osmolality of body fluids is _______________ mOsm/kg.
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59. _______________ feedings consist of the administration of 250–500 mL of formula several times daily.
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60. The outer lumen diameter of a feeding tube is described using a measurement called _______________ size.
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61. The wire guide within the enteral tube that assists with insertion is called the _______________.
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62. Providing adequate free _______________ as well as using a fiber-supplemented formula are steps that may be performed to relieve constipation associated with enteral feedings.
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63. _______________ is a term used to describe several common metabolic alterations that may occur during nutritional repletion of patients who are malnourished or in a state of starvation.
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64. The primary difference between enteral and parenteral feedings is that nutrients are provided via the _______________ rather than the gastrointestinal tract in PN.
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65. The most common type of parenteral access is a(n) _______________.
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66. Parenteral solutions are compounded under the supervision of a licensed _______________.
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67. Excessive _______________ in parenteral nutrition may contribute to hyperglycemia, hepatic steatosis, and excessive carbon dioxide production.
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68. The lipid in most parenteral solutions available in the United States is an emulsion of _______________.
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69. Increased permeability to _______________ has been noted when atrophic intestinal cells result from lack of enteral stimulation.
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70. If parenteral nutrition is administered continuously for several weeks, transient elevations in _______________ enzymes may be noted.
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71. List five examples of nutrition diagnoses that would indicate a need for enteral nutrition.
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72. List and describe the three different types of enteral feeding methods.
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73. List the steps of determining the nutrition prescription.
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74. Give two examples of each of the following: short-term venous access, long-term venous access.
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75. List four examples of potential complications associated with parenteral nutrition.
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76. Describe the procedure for inserting a nasogastric feeding tube.
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77. Describe indications, advantages, and disadvantages of the following types of enteral feeding tubes: nasogastric tubes, orogastric tubes, gastrostomy tubes, PEG tubes.
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78. List and describe four examples of complications associated with enteral feedings.
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79. Explain indications for using parenteral nutrition and list several conditions that would require parenteral nutrition instead of enteral nutrition.
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80. Describe the use of a pharmacy compounder with the nutrition prescription and list advantages as well as disadvantages.
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
