BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
Chapter 55: Nutritional Supplements -
Pharmacology and the Nursing Process - 10th
Edition - Linda Lane Lilley, Shelly Rainforth
Collins, Julie S. Snyder Exam Questions
With Correct Answers
A patient is receiving a nutritional supplement via an enteral feeding tube.
The nurse will monitor for which common adverse effect?
a. Diarrhea
b. Constipation
c. Fluid overload
d. Heartburn - answer✔✔A.
Diarrhea is the most common result of the gastrointestinal intolerance that occurs with nutritional
supplementation.
An older adult patient needs to receive an enteral supplement to improve her overall nutritional
status.
When considering enteral supplements, the nurse notes that which formulation provides complex
nutrients?
a. Ensure Plus
b. Moducal
c. Propac
d. Microlipid - answer✔✔A
, BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
Ensure Plus is a polymeric formulation that contains complex nutrients, including proteins,
carbohydrates, and fats. Moducal provides carbohydrates only; Propac is a protein formulation,
and Microlipid supplies only fats (see Box 55-1).
A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has
developed anorexia caused by the treatments, so she needs short-term nutrition supplementation.
The nurse anticipates that the physician will initiate which therapy?
a. Central total parenteral nutrition
b. Peripheral parenteral nutrition
c. Oral nutritional supplements with meals
d. Nasogastric enteral supplementation - answer✔✔B.
Peripheral parenteral nutrition is indicated for anorexia caused by radiation or cancer
chemotherapy. Total parenteral nutrition is indicated for more long-term use. The other options
are incorrect.
During the night shift, a patient's total parenteral nutrition (TPN) infusion ran out, and the nurse
discovered that there was no TPN solution on hand to continue the infusion. The pharmacy is
closed and will not reopen for 5 hours.
The nurse will have to implement measures to prevent which consequence of abruptly
discontinuing TPN infusions?
a. Dehydration
b. Hyperglycemia
c. Dumping syndrome
d. Rebound hypoglycemia - answer✔✔D.
Rebound hypoglycemia may occur if TPN is discontinued abruptly. It may be prevented by
infusion of 10% glucose in situations in which TPN must be stopped abruptly. The other options
are incorrect.
When monitoring a patient who has been receiving peripheral parenteral nutrition for more than
3 weeks, the nurse will watch for which potential complication?
Chapter 55: Nutritional Supplements -
Pharmacology and the Nursing Process - 10th
Edition - Linda Lane Lilley, Shelly Rainforth
Collins, Julie S. Snyder Exam Questions
With Correct Answers
A patient is receiving a nutritional supplement via an enteral feeding tube.
The nurse will monitor for which common adverse effect?
a. Diarrhea
b. Constipation
c. Fluid overload
d. Heartburn - answer✔✔A.
Diarrhea is the most common result of the gastrointestinal intolerance that occurs with nutritional
supplementation.
An older adult patient needs to receive an enteral supplement to improve her overall nutritional
status.
When considering enteral supplements, the nurse notes that which formulation provides complex
nutrients?
a. Ensure Plus
b. Moducal
c. Propac
d. Microlipid - answer✔✔A
, BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
Ensure Plus is a polymeric formulation that contains complex nutrients, including proteins,
carbohydrates, and fats. Moducal provides carbohydrates only; Propac is a protein formulation,
and Microlipid supplies only fats (see Box 55-1).
A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has
developed anorexia caused by the treatments, so she needs short-term nutrition supplementation.
The nurse anticipates that the physician will initiate which therapy?
a. Central total parenteral nutrition
b. Peripheral parenteral nutrition
c. Oral nutritional supplements with meals
d. Nasogastric enteral supplementation - answer✔✔B.
Peripheral parenteral nutrition is indicated for anorexia caused by radiation or cancer
chemotherapy. Total parenteral nutrition is indicated for more long-term use. The other options
are incorrect.
During the night shift, a patient's total parenteral nutrition (TPN) infusion ran out, and the nurse
discovered that there was no TPN solution on hand to continue the infusion. The pharmacy is
closed and will not reopen for 5 hours.
The nurse will have to implement measures to prevent which consequence of abruptly
discontinuing TPN infusions?
a. Dehydration
b. Hyperglycemia
c. Dumping syndrome
d. Rebound hypoglycemia - answer✔✔D.
Rebound hypoglycemia may occur if TPN is discontinued abruptly. It may be prevented by
infusion of 10% glucose in situations in which TPN must be stopped abruptly. The other options
are incorrect.
When monitoring a patient who has been receiving peripheral parenteral nutrition for more than
3 weeks, the nurse will watch for which potential complication?
