NR228 ROK for Final Exam

1. The nurse is caring for a post liver transplant client? What nutritional considerations would there be for the client? -Total parenteral nutrition or tube feeding may be necessary -Nutrition is not a concern because the client is overweight -Fats and carbohydrates are not a concern long term after transplant -A dietary consult would not be necessary for the client 2. The nurse is caring for a client who has been in a 2nd story fall with multiple broken bones and head trauma. The client is on enteral feeding at 50ml/hr and a water bolus of 100ml every 4hrs. What nursing interventions would be appropriate for this client? Select all that apply -Head of bed elevated 45 degrees - turn client on life side -monitor intake and output -give additional water bolus as needed -check gastric residual -blood glucose monitoring 3. The nutritionist asks the new oncology nurse what is the increase in percentage of energy/ nutrients needed when a patient has an infection? -Greater than 20% -15-20% -5-10% -10-15% 4. The GI tract not only is responsible for digestion and absorption of nutrients it also does the following: Select all that apply. -Can go weeks without food - replaces electrolytes to the body -prevents bacterial imbalance -starts shutting down to stress response -protects immunity -Protects the host from harmful bacteria 5. The nurse is discussing fluid restriction with a client with cirrhosis. The nurse realizes that the client needs further teaching when the client states? -Im limited as to what I can drink and eat due to the fluid building in my abdomen -I can only drink 1200ml of fluid a day but I can have all the jello I want - Ice cream, pudding and milk are considerate fluids as well -I should only drink the fluids on my tray and avoid all other fluids 6. The nurse is caring for a client with acute hepatitis B. The nurse knows what oral feeding would be appropriate for this client. -NGT feedings that are high in fiber and calories -Liquid diet then progression ti small, frequent meals high in calories and protein -Parenteral feedings with high dextrose content and low lipid content -Several large