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TEST BANK
INTRODUCTION TO
CRITICAL CARE
NURSING 7TH EDITION
GUARANTEED A+
2024/2025
,TEST BANK INTRODUCTION TO CRITICAL
CARE NURSING 7TH EDITION GUARANTEED
A+ 2024/2025
1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO
.Becauseenteraltubefeedingsarenotpossible,thedecisionistoinitiatepare
nteralfeedings.Whatarethemajorcomplicationsforthistherapy -
correctANSWERSb. Fluidandelectrolyteimbalancesandsepsis
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithan
asogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyasse
sstubeplacement? - correctANSWERSd.
Topreventaspirationofthefeedings
3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhic
hsiteforcatheterinsertion? - correctANSWERSd. Subclavianvein
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailin
gaswallowstudy,thepatientisplacedonenteralfeedings.Followingplacem
entofanasogastrictubefortubefeeding,whatisthenextcriticalstep? -
correctANSWERSc. Obtainachestradiograph.
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewi
thcontinuousflowtubefeeding.Thenurseknowsthatthisapproachwaschos
enbecause: - correctANSWERSc.
theintestinalmucosanormallyreceivesnutrientsfromthestomachinperist
alticwaves
,6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Then
ursewouldcarryoutwhichinterventiontominimizeaspirationrisk? -
correctANSWERSElevatetheheadofthebed30degrees.
7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250
mLofmilkygreenfluid.Thisisaconcernbecausethismostlikelydemonstrates
thatthepatienthas: - correctANSWERSd. tube feeding intolerance.
8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkyg
reenliquid.Thenurseholdsthetubefeeding,whichhadbeeninfusingat100
mL/hr.Thenurseknowsthatthenextactionshouldbe: - correctANSWERSd.
recheck the residual in 2hours
9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedi
ngintolerance? - correctANSWERSa. Abdominal distention
10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextr
emediarrhea.Astoolspecimeniscollectedtocheckforwhichpossiblecause?
- correctANSWERSa. Clostridium difficile
11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestu
dentnurselistedpossibleinterventionsforthispatient.Whichinterventionn
eedscorrectionbeforefinalizingtheplanofcare? - correctANSWERSb.
Infuseantibioticsthroughtheintravenousline.
12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodte
stasthemostsensitiveindicatorofproteinsynthesisandcatabolism? -
correctANSWERSc. Prealbumin
13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentia
lforcausingdrug-nutrientreactions? - correctANSWERSd. Phenytoin
, 14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)
tract? - correctANSWERSd. Without nutritional stimulation, mucosal
villi atrophy.
15.An important nutritional consideration in the elderly population is: -
correctANSWERSc. potential for drug-nutrient interaction related to
polypharmacy.
16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclu
de: - correctANSWERSd. 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? - correctANSWERSa. 24hours
18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiaisint
hecriticalcareunitonaventilator.Thenutritionassessmentnotesthatthepa
tienthasaproteinandvitamindeficiencyandisunderweight.Whichformulaf
ornutritionalassessmentismostappropriate? - correctANSWERSb. Fiber-
addedformula
19.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferre
dsourceofnutritionaltherapy - correctANSWERSd. Gut mucosa is
preserved.
20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofpro
tein? - correctANSWERSb. The patient with ileitis
21.Thebestnursingapproachtopreventfeedingtubeobstructionis: -
correctANSWERSb. flushthetubeevery4hourswith20to30mLoftapwater.
TEST BANK
INTRODUCTION TO
CRITICAL CARE
NURSING 7TH EDITION
GUARANTEED A+
2024/2025
,TEST BANK INTRODUCTION TO CRITICAL
CARE NURSING 7TH EDITION GUARANTEED
A+ 2024/2025
1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO
.Becauseenteraltubefeedingsarenotpossible,thedecisionistoinitiatepare
nteralfeedings.Whatarethemajorcomplicationsforthistherapy -
correctANSWERSb. Fluidandelectrolyteimbalancesandsepsis
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithan
asogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyasse
sstubeplacement? - correctANSWERSd.
Topreventaspirationofthefeedings
3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhic
hsiteforcatheterinsertion? - correctANSWERSd. Subclavianvein
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailin
gaswallowstudy,thepatientisplacedonenteralfeedings.Followingplacem
entofanasogastrictubefortubefeeding,whatisthenextcriticalstep? -
correctANSWERSc. Obtainachestradiograph.
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewi
thcontinuousflowtubefeeding.Thenurseknowsthatthisapproachwaschos
enbecause: - correctANSWERSc.
theintestinalmucosanormallyreceivesnutrientsfromthestomachinperist
alticwaves
,6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Then
ursewouldcarryoutwhichinterventiontominimizeaspirationrisk? -
correctANSWERSElevatetheheadofthebed30degrees.
7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250
mLofmilkygreenfluid.Thisisaconcernbecausethismostlikelydemonstrates
thatthepatienthas: - correctANSWERSd. tube feeding intolerance.
8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkyg
reenliquid.Thenurseholdsthetubefeeding,whichhadbeeninfusingat100
mL/hr.Thenurseknowsthatthenextactionshouldbe: - correctANSWERSd.
recheck the residual in 2hours
9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedi
ngintolerance? - correctANSWERSa. Abdominal distention
10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextr
emediarrhea.Astoolspecimeniscollectedtocheckforwhichpossiblecause?
- correctANSWERSa. Clostridium difficile
11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestu
dentnurselistedpossibleinterventionsforthispatient.Whichinterventionn
eedscorrectionbeforefinalizingtheplanofcare? - correctANSWERSb.
Infuseantibioticsthroughtheintravenousline.
12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodte
stasthemostsensitiveindicatorofproteinsynthesisandcatabolism? -
correctANSWERSc. Prealbumin
13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentia
lforcausingdrug-nutrientreactions? - correctANSWERSd. Phenytoin
, 14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)
tract? - correctANSWERSd. Without nutritional stimulation, mucosal
villi atrophy.
15.An important nutritional consideration in the elderly population is: -
correctANSWERSc. potential for drug-nutrient interaction related to
polypharmacy.
16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclu
de: - correctANSWERSd. 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? - correctANSWERSa. 24hours
18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiaisint
hecriticalcareunitonaventilator.Thenutritionassessmentnotesthatthepa
tienthasaproteinandvitamindeficiencyandisunderweight.Whichformulaf
ornutritionalassessmentismostappropriate? - correctANSWERSb. Fiber-
addedformula
19.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferre
dsourceofnutritionaltherapy - correctANSWERSd. Gut mucosa is
preserved.
20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofpro
tein? - correctANSWERSb. The patient with ileitis
21.Thebestnursingapproachtopreventfeedingtubeobstructionis: -
correctANSWERSb. flushthetubeevery4hourswith20to30mLoftapwater.
