TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 6TH EDITION Chapter06:NutritionalTherap

TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 6TH EDITION Chapter06:NutritionalTherap 1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO .Becauseenteraltubefeedingsarenotpossible,thedecisionistoinitiatepare nteralfeedings.Whatarethemajorcomplicationsforthistherapy - CORRECT ANSWER-b. Fluidandelectrolyteimbalancesandsepsis .Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithan asogastricsmallborefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyasse sstubeplacement? - CORRECT ANSWER-d. Topreventaspirationofthefeedings 3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhic hsiteforcatheterinsertion? - CORRECT ANSWER-d. Subclavianvein 4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailin gaswallowstudy,thepatientisplacedonenteralfeedings.Followingplacem entofanasogastrictubefortubefeeding,whatisthenextcriticalstep? - CORRECT ANSWER-c. Obtainachestradiograph. 5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewi thcontinuousflowtubefeeding.Thenurseknowsthatthisapproachwaschos enbecause: - CORRECT ANSWER-c. theintestinalmucosanormallyreceivesnutrientsfromthestomachinperist alticwaves 6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Then ursewouldcarryoutwhichinterventiontominimizeaspirationrisk? - CORRECT ANSWER-Elevatetheheadofthebed30degrees. 7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250 mLofmilkygreenfluid.Thisisaconcernbecausethismostlikelydemonstrates thatthepatienthas: - CORRECT ANSWER-d. tube feeding intolerance. 8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkyg reenliquid.Thenurseholdsthetubefeeding,whichhadbeeninfusingat100 mL/hr.Thenurseknowsthatthenextactionshouldbe: - CORRECT ANSWERd. recheck the residual in 2hours 9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedi ngintolerance? - CORRECT ANSWER-a. Abdominal distention 10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextr emediarrhea.Astoolspecimeniscollectedtocheckforwhichpossiblecause? - CORRECT ANSWER-a. Clostridium difficile 11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestu dentnurselistedpossibleinterventionsforthispatient.Whichinterventionn eedscorrectionbeforefinalizingtheplanofcare? - CORRECT ANSWER-b. Infuseantibioticsthroughtheintravenousline. 12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodte stasthemostsensitiveindicatorofproteinsynthesisandcatabolism? - CORRECT ANSWER-c. Prealbumin 13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrugnutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentia lforcausingdrug-nutrientreactions? - CORRECT ANSWER-d. Phenytoin 14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI) tract? - CORRECT ANSWER-d. Without nutritional stimulation, mucosal villi atrophy. 15.An important nutritional consideration in the elderly population is: - CORRECT ANSWER-c. potential for drug-nutrient interaction related to polypharmacy. 16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclu de: - CORRECT ANSWER-d. weight loss, elevated glucose, and dehydration 17.In trauma patients ,enteral nutrition via nasogastric tube feedings into the small bowel is best initiated within what time frame following the injury? - CORRECT ANSWER-a. 24hour