Chapter 42 Nutritional Supplements
Sealock Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. What is the most common adverse effect from nutritional supplements?
a. Diarrhea
b. Constipation
c. Fluid overload
d. Peptic ulcer disease
ANS A
Diarrhea is the most common result of the gastrointestinal intolerance that occurs with
nutritional supplementation.
DIF Cognitive Level Knowledge
2. An older adult patient needs to take an enteral supplement to improve overall nutritional
status. Which formulation provides complex nutrients?
a. Ensure®
b. Moducal®
c. ProMod®
d. Microlipid®
ANS A
Ensure is a polymeric formulation that contains complex nutrients, including proteins, carbohydrates,
and fat. Moducal provides carbohydrates only. ProMod is a protein formulation. Microlipid supplies
only fats.
, DIF Cognitive Level Application
3. A female patient has been receiving both radiation and chemotherapy for her cancer. She has
developed anorexia caused by the treatments and needs nutritional supplementation. The nurse
knows that the physician will likely initiate which therapy?
a. Central total parenteral nutrition (TPN)
b. Peripheral TPN
c. Oral nutritional supplementation
d. Nasogastric enteral supplementation
ANS B
Peripheral TPN is indicated for anorexia caused by radiation or cancer
chemotherapy. DIF Cognitive Level Application
4. Which is a potential adverse effect of TPN?
a. Anorexia
b. Headache
c. Fluid overload
d. Diarrhea
ANS C
Fluid overload is a potential adverse effect of TPN.
DIF Cognitive Level Comprehension
5. During the night shift, a patient’s TPN infusion finished, but no TPN solution is on hand. Which
condition does the nurse know may occur if the TPN infusion is discontinued abruptly?
a. Fluid overload
b. Hyperglycemia
c. Dumping syndrome
d. Rebound hypoglycemia
Sealock Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. What is the most common adverse effect from nutritional supplements?
a. Diarrhea
b. Constipation
c. Fluid overload
d. Peptic ulcer disease
ANS A
Diarrhea is the most common result of the gastrointestinal intolerance that occurs with
nutritional supplementation.
DIF Cognitive Level Knowledge
2. An older adult patient needs to take an enteral supplement to improve overall nutritional
status. Which formulation provides complex nutrients?
a. Ensure®
b. Moducal®
c. ProMod®
d. Microlipid®
ANS A
Ensure is a polymeric formulation that contains complex nutrients, including proteins, carbohydrates,
and fat. Moducal provides carbohydrates only. ProMod is a protein formulation. Microlipid supplies
only fats.
, DIF Cognitive Level Application
3. A female patient has been receiving both radiation and chemotherapy for her cancer. She has
developed anorexia caused by the treatments and needs nutritional supplementation. The nurse
knows that the physician will likely initiate which therapy?
a. Central total parenteral nutrition (TPN)
b. Peripheral TPN
c. Oral nutritional supplementation
d. Nasogastric enteral supplementation
ANS B
Peripheral TPN is indicated for anorexia caused by radiation or cancer
chemotherapy. DIF Cognitive Level Application
4. Which is a potential adverse effect of TPN?
a. Anorexia
b. Headache
c. Fluid overload
d. Diarrhea
ANS C
Fluid overload is a potential adverse effect of TPN.
DIF Cognitive Level Comprehension
5. During the night shift, a patient’s TPN infusion finished, but no TPN solution is on hand. Which
condition does the nurse know may occur if the TPN infusion is discontinued abruptly?
a. Fluid overload
b. Hyperglycemia
c. Dumping syndrome
d. Rebound hypoglycemia
