Exam 3 prep- Lutz's nutrition and diet therapy 8th edition Test bank

Exam
3
prep-
Lutz's
nutrition
and
diet
therapy
8th
edition
A
nurse
is
caring
for
a
client
who
has
developed
irritation
to
his
feeding
tube
in
the
past.
Which
of
the
following
actions
should
the
nurse
take
to
prevent
this
from
occurring?
-Flush
the
tube.
-Lubricate
the
tube
before
insertion.
-Use
an
infusion
pump.
-Elevate
the
client's
bed.
-
ANS-Lubricate
the
tube
before
insertion.
A
nurse
is
caring
for
a
client
receiving
tube
feedings
and
medication.
Which
action
should
the
nurse
take
to
appropriately
administer
the
medication?
-Add
the
medication
directly
to
the
feeding
formula.
-Give
medication
in
capsule
form.
-Crush
tablets
and
mix
with
sterile
water.
-Give
all
medications
at
once.
-
ANS-Crush
tablets
and
mix
with
sterile
water.
A
nurse
is
educating
parents
of
a
pediatric
client
who
will
need
to
receive
bolus
feedings
at
home.
The
client
will
be
fed
through
an
open
system.
Which
will
the
nurse
share
with
the
parents?
-The
feeding
formula
will
be
prepackaged,
so
all
you
will
need
to
do
is
hang
the
bag.
-You
will
fill
a
bag
with
liquid
formula
for
each
feeding.
-You
will
not
be
able
to
add
additional
fiber
to
your
child's
feedings.
-You
will
not
be
able
to
use
commercially
prepared
products.
-
ANS-You
will
fill
a
bag
with
liquid
formula
for
each
feeding.
A
client
has
been
hospitalized
for
several
weeks.
During
this
time,
the
client's
nurses
are
careful
to
record
the
client's
weight,
monitor
the
client's
stool
frequency,
and
document
the
client's
food
intake.
The
nurses
are
likely
trying
to
combat
which
of
the
following?
-Hyperglycemia
-Hypernatremia
-Overfeeding
-Iatrogenic
malnutrition
-
ANS-Iatrogenic
malnutrition
Which
of
the
following
strategies
can
a
nurse
take
to
help
prevent
hyperglycemia
in
a
client
receiving
tube
feedings?
-Select
a
low-carbohydrate
formula.
-Provide
adequate
fluids.
-Monitor
serum
levels.
-Reduce
potassium
intake.
-
ANS-Select
a
low-carbohydrate
formula. Which
of
the
following
refers
to
feeding
a
client
via
a
vein
away
from
the
center
of
the
body?
-Enteral
nutrition
(EN)
-Peripheral
parenteral
nutrition
(PPN)
-Central
parenteral
nutrition
(CPN)
-Peripherally
inserted
central
catheter
(PICC
line)
-
ANS-Peripheral
parenteral
nutrition
(PPN)
A
nurse
is
educating
a
client
on
parenteral
nutrition.
The
nurse
notes
that
parenteral
nutrition
is
maintained
at
a
constant
rate
in
an
adult
client
to
avoid:
-Metabolic
disturbances.
-Hypoglycemia
rebound.
-Hypolipidemia.
-Rapid
increase
of
nutrient
concentrations
in
the
serum.
-
ANS-Metabolic
disturbances.
A
client
is
receiving
nutrition
through
a
feeding
tube.
Which
type
of
enteral
feeding
formula
would
likely
be
used
if
the
client
needs
to
receive
all
essential
nutrients
in
a
specific
volume?
-Modular
formula
-Polymeric
formula
-Elemental
formula
-Disease-specific
formula
-
ANS-Polymeric
formula
A
client
presents
to
the
emergency
department
with
throat
inflammation,
nausea,
and
mouth
sores.
A
nurse
expects
that
the
health-care
provider
will
order
which
of
the
following?
-Peripheral
parenteral
nutrition
-Central
parenteral
nutrition
-Feeding
tube
-PICC
line
-
ANS-Feeding
tube
Which
of
the
following
strategies
can
a
nurse
take
to
help
prevent
hypernatremia
in
a
client
receiving
bolus
feedings?
-Monitor
serum
levels.
-Provide
adequate
fluids.
-Reduce
potassium
intake.
-Select
a
low-carbohydrate,
high-fat
formula.
-
ANSProvide
adequate
fluids.
Which
should
occur
weekly
in
a
client
who
receives
parenteral
nutrition?
-Liver
function
test
-Serum
electrolytes
-Complete
blood
count
-Fluid
intake
and
output
measurement
-
ANS-Complete
blood
count
A
nurse
is
caring
for
a
client
receiving
bolus
feedings.
During
feeding,
the
client
complains
of
cramping
and
bloating.
Which
actions
should
the
nurse
take?
Select
all
that
apply.
-Flush
the
tube. -Bring
formula
to
room
temperature
prior
to
feeding.
-Change
to
a
lactose-free
formula.
-Decrease
fat
content
of
formula.
-Elevate
the
client's
bed.
-
ANS-Bring
formula
to
room
temperature
prior
to
feeding.
-Change
to
a
lactose-free
formula.
-Decrease
fat
content
of
formula.
Which
of
the
following
may
contribute
to
the
hospitalized
client
developing
iatrogenic
malnutrition?
Select
all
that
apply.
-Drug
therapy
-Open
feeding
systems
-Preparation
for
diagnostic
tests
-Pain
-Paralysis
-
ANS-Drug
therapy
-Preparation
for
diagnostic
tests
-Pain
-Paralysis
In
which
acute
care
situations
would
parenteral
nutrition
be
indicated?
Select
all
that
apply.
-A
client
who
has
just
had
a
major
gastrointestinal
(GI)
surgery
-A
client
who
meets
40%
of
energy
requirements
after
receiving
nutrition
by
enteral
route
alone
for
8
days
-A
client
who
is
severely
malnourished
and
does
not
wish
to
feed
enterally
-A
previously
healthy
client
who
was
admitted
to
the
intensive
are
unit
after
7
days
of
hospitalization
-A
client
who
meets
70%
of
energy
requirements
after
receiving
nutrition
by
enteral
route
alone
for
6
days
-
ANS-A
previously
healthy
client
who
was
admitted
to
the
intensive
are
unit
after
7
days
of
hospitalization
-A
client
who
has
just
had
a
major
gastrointestinal
(GI)
surgery
-A
client
who
meets
40%
of
energy
requirements
after
receiving
nutrition
by
enteral
route
alone
for
8
days
A
health-care
provider
has
ordered
that
a
1-year-old
pediatric
client
who
has
been
receiving
central
peripheral
nutrition
should
transition
to
oral
feeding.
Which
of
the
following
actions
should
a
nurse
take?
Select
all
that
apply.
-Monitor
the
client
for
hypoglycemia.
-Taper
off
the
infusion.
-Anticipate
rapid
shifts
of
potassium.
-Keep
CPN
at
a
steady
rate
as
oral
intake
increases.
-Expect
the
client
to
struggle
with
oral
feeding.
-
ANS-Monitor
the
client
for
hypoglycemia.
-Taper
off
the
infusion.
-Anticipate
rapid
shifts
of
potassium.
-Expect
the
client
to
struggle
with
oral
feeding.