Lutz’s Nutrition and Diet Therapy 7th, 8th Edition
Mazur Litch Test Bank
A nurse is caring for a client who has developed irritation to his feeding tube in the past. Which of the
following actions should the nurse take to prevent this from occurring?
-Flush the tube.
-Lubricate the tube before insertion.
-Use an infusion pump.
-Elevate the client's bed. - ANSWER: -Lubricate the tube before insertion.
A nurse is caring for a client receiving tube feedings and medication. Which action should the nurse
take to appropriately administer the medication?
-Add the medication directly to the feeding formula.
-Give medication in capsule form.
-Crush tablets and mix with sterile water.
-Give all medications at once. - ANSWER: -Crush tablets and mix with sterile water.
A nurse is educating parents of a pediatric client who will need to receive bolus feedings at home. The
client will be fed through an open system. Which will the nurse share with the parents?
-The feeding formula will be prepackaged, so all you will need to do is hang the bag.
-You will fill a bag with liquid formula for each feeding.
-You will not be able to add additional fiber to your child's feedings.
-You will not be able to use commercially prepared products. - ANSWER: -You will fill a bag with liquid
formula for each feeding.
A client has been hospitalized for several weeks. During this time, the client's nurses are careful to
record the client's weight, monitor the client's stool frequency, and document the client's food intake.
The nurses are likely trying to combat which of the following?
-Hyperglycemia
-Hypernatremia
-Overfeeding
-Iatrogenic malnutrition - ANSWER: -Iatrogenic malnutrition
Which of the following strategies can a nurse take to help prevent hyperglycemia in a client receiving
tube feedings?
-Select a low-carbohydrate formula.
-Provide adequate fluids.
-Monitor serum levels.
-Reduce potassium intake. - ANSWER: -Select a low-carbohydrate formula.
Which of the following refers to feeding a client via a vein away from the center of the body?
-Enteral nutrition (EN)
-Peripheral parenteral nutrition (PPN)
-Central parenteral nutrition (CPN)
-Peripherally inserted central catheter (PICC line) - ANSWER: -Peripheral parenteral nutrition (PPN)
A nurse is educating a client on parenteral nutrition. The nurse notes that parenteral nutrition is
maintained at a constant rate in an adult client to avoid:
-Metabolic disturbances.
-Hypoglycemia rebound.
-Hypolipidemia.
, -Rapid increase of nutrient concentrations in the serum. - ANSWER: -Metabolic disturbances.
A client is receiving nutrition through a feeding tube. Which type of enteral feeding formula would
likely be used if the client needs to receive all essential nutrients in a specific volume?
-Modular formula
-Polymeric formula
-Elemental formula
-Disease-specific formula - ANSWER: -Polymeric formula
A client presents to the emergency department with throat inflammation, nausea, and mouth sores. A
nurse expects that the health-care provider will order which of the following?
-Peripheral parenteral nutrition
-Central parenteral nutrition
-Feeding tube
-PICC line - ANSWER: -Feeding tube
Which of the following strategies can a nurse take to help prevent hypernatremia in a client receiving
bolus feedings?
-Monitor serum levels.
-Provide adequate fluids.
-Reduce potassium intake.
-Select a low-carbohydrate, high-fat formula. - ANSWER: Provide adequate fluids.
Which should occur weekly in a client who receives parenteral nutrition?
-Liver function test
-Serum electrolytes
-Complete blood count
-Fluid intake and output measurement - ANSWER: -Complete blood count
A nurse is caring for a client receiving bolus feedings. During feeding, the client complains of cramping
and bloating. Which actions should the nurse take? Select all that apply.
-Flush the tube.
-Bring formula to room temperature prior to feeding.
-Change to a lactose-free formula.
-Decrease fat content of formula.
-Elevate the client's bed. - ANSWER: -Bring formula to room temperature prior to feeding.
-Change to a lactose-free formula.
-Decrease fat content of formula.
Which of the following may contribute to the hospitalized client developing iatrogenic malnutrition?
Select all that apply.
-Drug therapy
-Open feeding systems
-Preparation for diagnostic tests
-Pain
-Paralysis - ANSWER: -Drug therapy
-Preparation for diagnostic tests
-Pain
-Paralysis
In which acute care situations would parenteral nutrition be indicated? Select all that apply.
-A client who has just had a major gastrointestinal (GI) surgery
-A client who meets 40% of energy requirements after receiving nutrition by enteral route alone for 8
days
-A client who is severely malnourished and does not wish to feed enterally
-A previously healthy client who was admitted to the intensive are unit after 7 days of hospitalization
Mazur Litch Test Bank
A nurse is caring for a client who has developed irritation to his feeding tube in the past. Which of the
following actions should the nurse take to prevent this from occurring?
-Flush the tube.
-Lubricate the tube before insertion.
-Use an infusion pump.
-Elevate the client's bed. - ANSWER: -Lubricate the tube before insertion.
A nurse is caring for a client receiving tube feedings and medication. Which action should the nurse
take to appropriately administer the medication?
-Add the medication directly to the feeding formula.
-Give medication in capsule form.
-Crush tablets and mix with sterile water.
-Give all medications at once. - ANSWER: -Crush tablets and mix with sterile water.
A nurse is educating parents of a pediatric client who will need to receive bolus feedings at home. The
client will be fed through an open system. Which will the nurse share with the parents?
-The feeding formula will be prepackaged, so all you will need to do is hang the bag.
-You will fill a bag with liquid formula for each feeding.
-You will not be able to add additional fiber to your child's feedings.
-You will not be able to use commercially prepared products. - ANSWER: -You will fill a bag with liquid
formula for each feeding.
A client has been hospitalized for several weeks. During this time, the client's nurses are careful to
record the client's weight, monitor the client's stool frequency, and document the client's food intake.
The nurses are likely trying to combat which of the following?
-Hyperglycemia
-Hypernatremia
-Overfeeding
-Iatrogenic malnutrition - ANSWER: -Iatrogenic malnutrition
Which of the following strategies can a nurse take to help prevent hyperglycemia in a client receiving
tube feedings?
-Select a low-carbohydrate formula.
-Provide adequate fluids.
-Monitor serum levels.
-Reduce potassium intake. - ANSWER: -Select a low-carbohydrate formula.
Which of the following refers to feeding a client via a vein away from the center of the body?
-Enteral nutrition (EN)
-Peripheral parenteral nutrition (PPN)
-Central parenteral nutrition (CPN)
-Peripherally inserted central catheter (PICC line) - ANSWER: -Peripheral parenteral nutrition (PPN)
A nurse is educating a client on parenteral nutrition. The nurse notes that parenteral nutrition is
maintained at a constant rate in an adult client to avoid:
-Metabolic disturbances.
-Hypoglycemia rebound.
-Hypolipidemia.
, -Rapid increase of nutrient concentrations in the serum. - ANSWER: -Metabolic disturbances.
A client is receiving nutrition through a feeding tube. Which type of enteral feeding formula would
likely be used if the client needs to receive all essential nutrients in a specific volume?
-Modular formula
-Polymeric formula
-Elemental formula
-Disease-specific formula - ANSWER: -Polymeric formula
A client presents to the emergency department with throat inflammation, nausea, and mouth sores. A
nurse expects that the health-care provider will order which of the following?
-Peripheral parenteral nutrition
-Central parenteral nutrition
-Feeding tube
-PICC line - ANSWER: -Feeding tube
Which of the following strategies can a nurse take to help prevent hypernatremia in a client receiving
bolus feedings?
-Monitor serum levels.
-Provide adequate fluids.
-Reduce potassium intake.
-Select a low-carbohydrate, high-fat formula. - ANSWER: Provide adequate fluids.
Which should occur weekly in a client who receives parenteral nutrition?
-Liver function test
-Serum electrolytes
-Complete blood count
-Fluid intake and output measurement - ANSWER: -Complete blood count
A nurse is caring for a client receiving bolus feedings. During feeding, the client complains of cramping
and bloating. Which actions should the nurse take? Select all that apply.
-Flush the tube.
-Bring formula to room temperature prior to feeding.
-Change to a lactose-free formula.
-Decrease fat content of formula.
-Elevate the client's bed. - ANSWER: -Bring formula to room temperature prior to feeding.
-Change to a lactose-free formula.
-Decrease fat content of formula.
Which of the following may contribute to the hospitalized client developing iatrogenic malnutrition?
Select all that apply.
-Drug therapy
-Open feeding systems
-Preparation for diagnostic tests
-Pain
-Paralysis - ANSWER: -Drug therapy
-Preparation for diagnostic tests
-Pain
-Paralysis
In which acute care situations would parenteral nutrition be indicated? Select all that apply.
-A client who has just had a major gastrointestinal (GI) surgery
-A client who meets 40% of energy requirements after receiving nutrition by enteral route alone for 8
days
-A client who is severely malnourished and does not wish to feed enterally
-A previously healthy client who was admitted to the intensive are unit after 7 days of hospitalization
