ATI Nutrition: Week 5 Exam Questions and Answers

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take? A. Administer 0.9% sodium chloride until TPN is available from the pharmacy B. Check the client's capillary blood glucose level every 4 hr C. Obtain the client's weight each week D. Change the IV tubing every 3 days B. A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The specific gravity of the client's urine is 1.035. Which of the following actions should the nurse take? A. Deliver the formula at a slower rate B. Request a lower-fat formula C. Provide more water with feedings D. Instill a lactose-free formul C. A nurse is reviewing the laboratory reports of a client who is receiving enteral feedings. Which of the following values indicates a complication of enteral feeding that the nurse should report to the provider? A. Sodium 143 mEg/L B. Potassium 4.2 mEg/L C. BUN 25 mg/dL D. Glucose 185 mg/dL C. How is appropriate placement of tubes determined after placement? A. X-Ray B. Acid Strip C. Auscultation D. Blowing Air Through the Tube A.What is an appropriate position for a client after or during receiving EN? A. Supine B. Prone C. Sim's D. Semi- Fowlers D. Patients receiving EN should have weight and I&O monitored how often? A. Daily B. Weekly C. Monthly D. Every Shift Change A. What is a potentially fatal complication that can occur with EN? A. Dumping Syndrome B. Refeeding Syndrome C. Abdominal Distention D. Constipation B. What time of tube is used for short term use (less than 3-4 wks) A. Nasogastric Tubes B. Nasoduodenal Tubes C. Nasoenteric Tubes D. Nasojejunal Tubes C. How often should gastric residuals be obtained with EN? A. Every 4 to 6 hr. B. Every hour C. Every 12 hr. D. Every 2 hr. A. A nurse is caring for several clients in an extended care facility. Which of the following clients is the highest priority to observe during meals?A. A client who has decreased vision. B. A client who has Parkinson's disease. C. A client who has poor dentition. D. A client who has anorexia. B. A nurse is caring for a client who is transitioning to an oral diet following a partial laryngectomy. Which of the following actions should the nurse take to reduce the client's risk for aspiration? A. Request to have the client's oral meds provided in liquid form. B. Instruct the client to follow each bite of food with a drink of water. C. Encourage the client to tuck the chin when swallowing. D. Consult the dietician about providing the client with a thin liquid diet. C. A nurse caring for a client with limited access to dental tools provides education regarding adequate nutritional intake. Which of the following statements is the most sufficient? A. "It is important to limit consumption of processed carbohydrates, as they can stick to your teeth and increase the risk for dental caries." B. "You should not consume coffee as it will cause tooth discoloration." C. "It is important to consume adequate calcium as it prevents tooth decay." D. "You should never drink soda if you do not want your teeth to rot." A.