Test Bank for Critical Care Nursing: Diagnosis and Management 10th Edition by Linus, With question and correct answer verified solutions.

Test Bank for Critical Care Nursing: Diagnosis and
Management 10th Edition by Linus, With question
and correct answer verified solutions.

Chapter06:NutritionalTherapy



1.Apatientishavingcomplicationsfromabdominalsurge
ryandremainsNPO.Becauseenteraltubefeedingsareno
tpossible,thedecisionistoinitiateparenteralfeedings.
Whatarethemajorcomplicationsforthistherapy -
ANSWER: b. Fluidandelectrolyteimbalancesandsepsis



.Apatientisbeingventilatedandhasbeenstartedonenter
alfeedingswithanasogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemu
stfrequentlyassesstubeplacement? - ANSWER: d.
Topreventaspirationofthefeedings



3.Thepatientistostartparenteralnutrition.Thenursekn
owstopreparewhichsiteforcatheterinsertion? -
ANSWER: d. Subclavianvein



4.Apatienthasbeenadmittedtothecriticalcareunitafter
astroke.Afterfailingaswallowstudy,thepatientisplace

,donenteralfeedings.Followingplacementofanasogastr
ictubefortubefeeding,whatisthenextcriticalstep? -
ANSWER: c. Obtainachestradiograph.



5.Apatientsfeedingtubehasbeensuccessfullyplacedin
thesmallintestinewithcontinuousflowtubefeeding.The
nurseknowsthatthisapproachwaschosenbecause: -
ANSWER: c.
theintestinalmucosanormallyreceivesnutrientsfromth
estomachinperistalticwaves



6.Apatientisbeingfedthroughanasogastrictubeplacedi
nhisstomach.Thenursewouldcarryoutwhichinterventi
ontominimizeaspirationrisk? - ANSWER:
Elevatetheheadofthebed30degrees.



7.Apatientwhoisreceivingcontinuousenteralfeedingsh
asjustvomited250mLofmilkygreenfluid.Thisisaconcer
nbecausethismostlikelydemonstratesthatthepatienth
as: - ANSWER: d. tube feeding intolerance.



8.Apatientisreceivingenteralfeedingsandhasjustvomi
ted250mLofmilkygreenliquid.Thenurseholdsthetubefe
eding,whichhadbeeninfusingat100mL/hr.Thenursekno

,wsthatthenextactionshouldbe: - ANSWER: d. recheck
the residual in 2hours



9.Inadditiontoresidualstomachvolume,whatotherevid
encesuggestsfeedingintolerance? - ANSWER: a.
Abdominal distention



10.Approximately5daysafterstartingtubefeedings,apa
tientdevelopsextremediarrhea.Astoolspecimeniscoll
ectedtocheckforwhichpossiblecause? - ANSWER: a.
Clostridium difficile



11.Apatientwithacutepancreatitisisstartedonparente
ralnutrition.Thestudentnurselistedpossibleinterventi
onsforthispatient.Whichinterventionneedscorrection
beforefinalizingtheplanofcare? - ANSWER: b.
Infuseantibioticsthroughtheintravenousline.



12.Inevaluatingapatientsnutrition,thenursewouldmon
itorwhichbloodtestasthemostsensitiveindicatorofprot
einsynthesisandcatabolism? - ANSWER: c.
Prealbumin

, 13.Apatientisreceivingenteraltubefeedingsandhasdev
elopeddrug-
nutrientinteractions.Thenurserecognizeswhichdruga
shavingthepotentialforcausingdrug-
nutrientreactions? - ANSWER: d. Phenytoin



14.Whichstatementistrueaboutnormalfunctionoftheg
astrointestinal(GI)tract? - ANSWER: d. Without
nutritional stimulation, mucosal villi atrophy.



15.An important nutritional consideration in the
elderly population is: - ANSWER: c. potential for drug-
nutrient interaction related to polypharmacy.



16.Objectivedatadesignatingthatthenutritiongoalsare
notbeingmetinclude: - 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? - ANSWER: a. 24hours