TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION
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1. Chapter06:NutritionalTherapy
2. 1.Apatientishavingcomplicationsfromabdominal- b. Fluidandelectrolyteimbal-
surgeryandremainsNPO.Becauseenteraltubefeed- ancesandsepsis
ingsarenotpossible,thedecisionistoinitiatepar-
enteralfeedings.Whatarethemajorcomplications-
forthistherapy
3. .Apatientisbeingventilatedandhasbeenstartedo- d. Topreventaspirationofthe-
nenteralfeedingswithanasogastricsmall-borefeed- feedings
ingtube.Whatistheprimaryreasonthenursemust-
frequentlyassesstubeplacement?
4. 3.Thepatientistostartparenteralnutri- d. Subclavianvein
tion.Thenurseknowstopreparewhichsitefor-
catheterinsertion?
5. 4.Apatienthasbeenadmittedtothecriticalcare- c. Obtainachestradiograph.
unitafterastroke.Afterfailingaswallowstudy,thepa-
tientisplacedonenteralfeedings.Followingplace-
mentofanasogastrictubefortubefeeding,whatis-
thenextcriticalstep?
6. 5.Apatientsfeedingtubehasbeensuccessfully- c.
placedinthesmallintestinewithcontinuousflow- theintestinalmucosanormallyre-
tubefeeding.Thenurseknowsthatthisapproach- ceivesnutrientsfromthestomach-
waschosenbecause: inperistalticwaves
7. 6.Apatientisbeingfedthroughanasogastrictube- Elevatetheheadofthebed30de-
placedinhisstomach.Thenursewouldcarryout- grees.
whichinterventiontominimizeaspirationrisk?
8. d. tube feeding intolerance.
, TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION
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7.Apatientwhoisreceivingcontinuousenteralfeed-
ingshasjustvomited250mLofmilkygreenfluid.Thi-
sisaconcernbecausethismostlikelydemonstrat-
esthatthepatienthas:
9. 8.Apatientisreceivingenteralfeedingsand- d. recheck the residual in
hasjustvomited250mLofmilkygreenliq- 2hours
uid.Thenurseholdsthetubefeeding,whichhadbeen-
infusingat100mL/hr.Thenurseknowsthatthenex-
tactionshouldbe:
10. 9.Inadditiontoresidualstomachvolume,wha- a. Abdominal distention
totherevidencesuggestsfeedingintolerance?
11. 10.Approximately5daysafterstartingtubefeed- a. Clostridium difficile
ings,apatientdevelopsextremediarrhea.Astool-
specimeniscollectedtocheckforwhichpossible-
cause?
12. 11.Apatientwithacutepancreatitisisstartedonpar- b. Infuseantibiotic-
enteralnutrition.Thestudentnurselistedpossiblein- sthroughtheintravenousline.
terventionsforthispatient.Whichinterventionneed-
scorrectionbeforefinalizingtheplanofcare?
13. 12.Inevaluatingapatientsnutrition,thenursewould- c. Prealbumin
monitorwhichbloodtestasthemostsensitiveindica-
torofproteinsynthesisandcatabolism?
14. 13.Apatientisreceivingenteraltubefeedingsand- d. Phenytoin
hasdevelopeddrug-nutrientinteractions.Thenurs-
erecognizeswhichdrugashavingthepotentialfor-
causingdrug-nutrientreactions?
, TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION
Study online at https://quizlet.com/_hbllmn
15. 14.Whichstatementistrueaboutnormalfunc- d. Without nutritional stimula-
tionofthegastrointestinal(GI)tract? tion, mucosal villi atrophy.
16. 15.An important nutritional consideration in the c. potential for drug-nutrient in-
elderly population is: teraction related to polyphar-
macy.
17. 16.Objectivedatadesignatingthatthenutritiongoal- d. weight loss, elevated glucose,
sarenotbeingmetinclude: and dehydration
18. 17.In trauma patients ,enteral nutrition via naso- a. 24hours
gastric tube feedings into the small bowel is best
initiated within what time frame following the in-
jury?
19. 18.Apatientwithahistoryofemphysema,dia- b. Fiber-addedformula
betes,andhyperlipidemiaisinthecriticalcareuniton-
aventilator.Thenutritionassessmentnotesthatthep-
atienthasaproteinandvitamindeficiencyandisun-
derweight.Whichformulafornutritionalassessmen-
tismostappropriate?
20. 19.Selectthephysiologicalreasoningbehindenter- d. Gut mucosa is preserved.
altherapyasthepreferredsourceofnutritionalthera-
py
21. 20.Thenurseidentifieswhichpatientatgreatestrisk- b. The patient with ileitis
formalabsorptionofprotein?
22. 21.Thebestnursingapproachtopreventfeeding- b. flushthetubeevery4hour-
tubeobstructionis: swith20to30mLoftapwater.
23. 22.Patientsexperiencingseverephysiologicalstress- c. 35kcal/kg/day
increasetheirnutritionalrequirementsto:
, TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION
Study online at https://quizlet.com/_hbllmn
24. 23.Malnutritioncontributestoinfectionriskby b. impairing immune function
25. 24.Apatient,whohasatubefeeding,requiresach- d.
estx-raystudyforevaluationofacough.Tore- stopsfeedings10to15minutes-
ducetheriskofaspiration,thenurse: beforeplacingflattoobtainthera-
diograph.
26. 1.Whichstatement(s)abouttotalparenteralnutritio- a.
nis(are)true?(Selectallthatapply.) Assessingfluidvolumestatusand-
preventinginfectionareimpor-
tantnursingconsiderations.b.
Fingerstickglucoselevelsare-
assessedevery6hoursandprn.
d.
Totalparenteralnutrition,with-
addedlipids,providesade-
quatelevelsofprotein,carbohy-
drates,andfats.
27. 2.Whichintervention(s)is(are)criticalduringintra- b. Changethetubingev-
venouslipidadministration?(Selectallthatapply). ery24hours.
d. Monitortriglyceridelevels.
28. 3.Calorie-densefeedings:(Selectallthatapply.) a. are most useful in heart fail-
ure and liver disease.
29. 4.Risksoftotalparenteralnutritioninclude:(Selec- b. elevatedbloodsugar.
tallthatapply.) c. infectionatthecathetersite.
d. volumeoverload.
30. 5.Whichofthefollowingstatementsistrueaboutin- a.
sulinandparenteralnutrition?(Selectallthatapply.) Amountofparenteralinsulinisad-
Study online at https://quizlet.com/_hbllmn
1. Chapter06:NutritionalTherapy
2. 1.Apatientishavingcomplicationsfromabdominal- b. Fluidandelectrolyteimbal-
surgeryandremainsNPO.Becauseenteraltubefeed- ancesandsepsis
ingsarenotpossible,thedecisionistoinitiatepar-
enteralfeedings.Whatarethemajorcomplications-
forthistherapy
3. .Apatientisbeingventilatedandhasbeenstartedo- d. Topreventaspirationofthe-
nenteralfeedingswithanasogastricsmall-borefeed- feedings
ingtube.Whatistheprimaryreasonthenursemust-
frequentlyassesstubeplacement?
4. 3.Thepatientistostartparenteralnutri- d. Subclavianvein
tion.Thenurseknowstopreparewhichsitefor-
catheterinsertion?
5. 4.Apatienthasbeenadmittedtothecriticalcare- c. Obtainachestradiograph.
unitafterastroke.Afterfailingaswallowstudy,thepa-
tientisplacedonenteralfeedings.Followingplace-
mentofanasogastrictubefortubefeeding,whatis-
thenextcriticalstep?
6. 5.Apatientsfeedingtubehasbeensuccessfully- c.
placedinthesmallintestinewithcontinuousflow- theintestinalmucosanormallyre-
tubefeeding.Thenurseknowsthatthisapproach- ceivesnutrientsfromthestomach-
waschosenbecause: inperistalticwaves
7. 6.Apatientisbeingfedthroughanasogastrictube- Elevatetheheadofthebed30de-
placedinhisstomach.Thenursewouldcarryout- grees.
whichinterventiontominimizeaspirationrisk?
8. d. tube feeding intolerance.
, TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION
Study online at https://quizlet.com/_hbllmn
7.Apatientwhoisreceivingcontinuousenteralfeed-
ingshasjustvomited250mLofmilkygreenfluid.Thi-
sisaconcernbecausethismostlikelydemonstrat-
esthatthepatienthas:
9. 8.Apatientisreceivingenteralfeedingsand- d. recheck the residual in
hasjustvomited250mLofmilkygreenliq- 2hours
uid.Thenurseholdsthetubefeeding,whichhadbeen-
infusingat100mL/hr.Thenurseknowsthatthenex-
tactionshouldbe:
10. 9.Inadditiontoresidualstomachvolume,wha- a. Abdominal distention
totherevidencesuggestsfeedingintolerance?
11. 10.Approximately5daysafterstartingtubefeed- a. Clostridium difficile
ings,apatientdevelopsextremediarrhea.Astool-
specimeniscollectedtocheckforwhichpossible-
cause?
12. 11.Apatientwithacutepancreatitisisstartedonpar- b. Infuseantibiotic-
enteralnutrition.Thestudentnurselistedpossiblein- sthroughtheintravenousline.
terventionsforthispatient.Whichinterventionneed-
scorrectionbeforefinalizingtheplanofcare?
13. 12.Inevaluatingapatientsnutrition,thenursewould- c. Prealbumin
monitorwhichbloodtestasthemostsensitiveindica-
torofproteinsynthesisandcatabolism?
14. 13.Apatientisreceivingenteraltubefeedingsand- d. Phenytoin
hasdevelopeddrug-nutrientinteractions.Thenurs-
erecognizeswhichdrugashavingthepotentialfor-
causingdrug-nutrientreactions?
, TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION
Study online at https://quizlet.com/_hbllmn
15. 14.Whichstatementistrueaboutnormalfunc- d. Without nutritional stimula-
tionofthegastrointestinal(GI)tract? tion, mucosal villi atrophy.
16. 15.An important nutritional consideration in the c. potential for drug-nutrient in-
elderly population is: teraction related to polyphar-
macy.
17. 16.Objectivedatadesignatingthatthenutritiongoal- d. weight loss, elevated glucose,
sarenotbeingmetinclude: and dehydration
18. 17.In trauma patients ,enteral nutrition via naso- a. 24hours
gastric tube feedings into the small bowel is best
initiated within what time frame following the in-
jury?
19. 18.Apatientwithahistoryofemphysema,dia- b. Fiber-addedformula
betes,andhyperlipidemiaisinthecriticalcareuniton-
aventilator.Thenutritionassessmentnotesthatthep-
atienthasaproteinandvitamindeficiencyandisun-
derweight.Whichformulafornutritionalassessmen-
tismostappropriate?
20. 19.Selectthephysiologicalreasoningbehindenter- d. Gut mucosa is preserved.
altherapyasthepreferredsourceofnutritionalthera-
py
21. 20.Thenurseidentifieswhichpatientatgreatestrisk- b. The patient with ileitis
formalabsorptionofprotein?
22. 21.Thebestnursingapproachtopreventfeeding- b. flushthetubeevery4hour-
tubeobstructionis: swith20to30mLoftapwater.
23. 22.Patientsexperiencingseverephysiologicalstress- c. 35kcal/kg/day
increasetheirnutritionalrequirementsto:
, TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION
Study online at https://quizlet.com/_hbllmn
24. 23.Malnutritioncontributestoinfectionriskby b. impairing immune function
25. 24.Apatient,whohasatubefeeding,requiresach- d.
estx-raystudyforevaluationofacough.Tore- stopsfeedings10to15minutes-
ducetheriskofaspiration,thenurse: beforeplacingflattoobtainthera-
diograph.
26. 1.Whichstatement(s)abouttotalparenteralnutritio- a.
nis(are)true?(Selectallthatapply.) Assessingfluidvolumestatusand-
preventinginfectionareimpor-
tantnursingconsiderations.b.
Fingerstickglucoselevelsare-
assessedevery6hoursandprn.
d.
Totalparenteralnutrition,with-
addedlipids,providesade-
quatelevelsofprotein,carbohy-
drates,andfats.
27. 2.Whichintervention(s)is(are)criticalduringintra- b. Changethetubingev-
venouslipidadministration?(Selectallthatapply). ery24hours.
d. Monitortriglyceridelevels.
28. 3.Calorie-densefeedings:(Selectallthatapply.) a. are most useful in heart fail-
ure and liver disease.
29. 4.Risksoftotalparenteralnutritioninclude:(Selec- b. elevatedbloodsugar.
tallthatapply.) c. infectionatthecathetersite.
d. volumeoverload.
30. 5.Whichofthefollowingstatementsistrueaboutin- a.
sulinandparenteralnutrition?(Selectallthatapply.) Amountofparenteralinsulinisad-
