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. correct answers -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. correct answers -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. correct answers -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 correct answers -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. correct answers -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) correct answers -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. correct answers -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 correct answers -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 correct answers -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. correct answers Provide 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 correct answers -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. correct answers -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 correct answers -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 correct answers -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.
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. correct answers -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. correct answers -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. correct answers -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 correct answers -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. correct answers -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) correct answers -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. correct answers -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 correct answers -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 correct answers -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. correct answers Provide 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 correct answers -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. correct answers -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 correct answers -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 correct answers -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.
