TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION (2026) comprehensive questions and verified detailed solutions (MULTIPLE CHOICES) |100% CORRECT!!

TEST BANK INTRODUCTION TO
CRITICAL CARE NURSING 7TH
EDITION (2026) comprehensive
questions and verified detailed
solutions (MULTIPLE CHOICES) |100%
CORRECT!!
-mCORRECTmANSWERmChapter06:NutritionalTherapy



b.mFluidandelectrolyteimbalancesandsepsism-
mCORRECTmANSWERm1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO.Be


causeenteraltubefeedingsarenotpossible,thedecisionistoinitiateparenteralfeedings.Whatarethe
majorcomplicationsforthistherapy



d.mTopreventaspirationofthefeedingsm-
mCORRECTmANSWERm.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanaso


gastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubeplacement?



d.mSubclavianveinm-
mCORRECTmANSWERm3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsit


eforcatheterinsertion?



c.mObtainachestradiograph.m-
mCORRECTmANSWERm4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingas


wallowstudy,thepatientisplacedonenteralfeedings.Followingplacementofanasogastrictubefortub
efeeding,whatisthenextcriticalstep?

,c.mtheintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwavesm-
mCORRECTmANSWERm5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithc


ontinuousflowtubefeeding.Thenurseknowsthatthisapproachwaschosenbecause:



Elevatetheheadofthebed30degrees.m-
mCORRECTmANSWERm6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenurs


ewouldcarryoutwhichinterventiontominimizeaspirationrisk?



d.mtubemfeedingmintolerance.m-
mCORRECTmANSWERm7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mL


ofmilkygreenfluid.Thisisaconcernbecausethismostlikelydemonstratesthatthepatienthas:



d.mrecheckmthemresidualminm2hoursm-
mCORRECTmANSWERm8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygree


nliquid.Thenurseholdsthetubefeeding,whichhadbeeninfusingat100mL/hr.Thenurseknowsthatthe
nextactionshouldbe:



a.mAbdominalmdistentionm-
mCORRECTmANSWERm9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingi


ntolerance?



a.mClostridiummdifficilem-
mCORRECTmANSWERm10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextreme


diarrhea.Astoolspecimeniscollectedtocheckforwhichpossiblecause?



b.mInfuseantibioticsthroughtheintravenousline.m-
mCORRECTmANSWERm11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestuden


tnurselistedpossibleinterventionsforthispatient.Whichinterventionneedscorrectionbeforefinalizi
ngtheplanofcare?

,c.mPrealbuminm-
mCORRECTmANSWERm12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodtestas


themostsensitiveindicatorofproteinsynthesisandcatabolism?



d.mPhenytoinm-
mCORRECTmANSWERm13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-


nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingdrug-
nutrientreactions?



d.mWithoutmnutritionalmstimulation,mmucosalmvillimatrophy.m-
mCORRECTmANSWERm14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)trac


t?



c.mpotentialmformdrug-nutrientminteractionmrelatedmtompolypharmacy.m-
mCORRECTmANSWERm15.Anmimportantmnutritionalmconsiderationminmthemelderlympopulationmis:




d.mweightmloss,melevatedmglucose,mandmdehydrationm-
mCORRECTmANSWERm16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclude:




a.m24hoursm-
mCORRECTmANSWERm17.Inmtraumampatientsm,enteralmnutritionmviamnasogastricmtubemfeedingsmint


omthemsmallmbowelmismbestminitiatedmwithinmwhatmtimemframemfollowingmtheminjury?



b.mFiber-addedformulam-
mCORRECTmANSWERm18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiaisinthec


riticalcareunitonaventilator.Thenutritionassessmentnotesthatthepatienthasaproteinandvitamind
eficiencyandisunderweight.Whichformulafornutritionalassessmentismostappropriate?



d.mGutmmucosamismpreserved.m-
mCORRECTmANSWERm19.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferredso


urceofnutritionaltherapy

, b.mThempatientmwithmileitism-
mCORRECTmANSWERm20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofprotein


?



b.mflushthetubeevery4hourswith20to30mLoftapwater.m-
mCORRECTmANSWERm21.Thebestnursingapproachtopreventfeedingtubeobstructionis:




c.m35kcal/kg/daym-
mCORRECTmANSWERm22.Patientsexperiencingseverephysiologicalstressincreasetheirnutritionalre


quirementsto:



b.mimpairingmimmunemfunctionm-
mCORRECTmANSWERm23.Malnutritioncontributestoinfectionriskby




d.mstopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograph.m-
mCORRECTmANSWERm24.Apatient,whohasatubefeeding,requiresachestx-


raystudyforevaluationofacough.Toreducetheriskofaspiration,thenurse:



a.mAssessingfluidvolumestatusandpreventinginfectionareimportantnursingconsiderations.b.mFing
erstickglucoselevelsareassessedevery6hoursandprn.

d.mTotalparenteralnutrition,withaddedlipids,providesadequatelevelsofprotein,carbohydrates,an
dfats.m-
mCORRECTmANSWERm1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Selectalltha


tapply.)



b.mChangethetubingevery24hours.

d.mMonitortriglyceridelevels.m-
mCORRECTmANSWERm2.Whichintervention(s)is(are)criticalduringintravenouslipidadministration?(


Selectallthatapply).