NURS 452 exam 4 Questions With Complete Solutions
A patient has been admitted to the critical care unit after a
stroke. After failing a swallow study, the patient is placed on
enteral feedings. Following placement of a nasogastric tube for
tube feeding, what is the next critical step? Correct Answers
Obtain a chest radiograph.
A patient is being fed through a nasogastric tube placed in his
stomach. The nurse would carry out which intervention to
minimize aspiration risk? Correct Answers Elevate the head of
the bed 30 degrees.
A patient is being ventilated and has been started on enteral
feedings with a nasogastric small-bore feeding tube. What is the
primary reason the nurse must frequently assess tube placement?
Correct Answers To prevent aspiration of the feedings
A patient is having complications from abdominal surgery and
remains NPO. Because enteral tube feedings are not possible,
the decision is to initiate parenteral feedings. What are the major
complications for this therapy? Correct Answers Fluid and
electrolyte imbalances and sepsis
A patient is receiving enteral feedings and has just vomited 250
mL of milky green liquid. The nurse holds the tube feeding,
which had been infusing at 100 mL/hr. The nurse knows that the
next action should be: Correct Answers recheck the residual in
2 hours.
, A patient is receiving enteral tube feedings and has developed
drug-nutrient interactions. The nurse recognizes which drug as
having the potential for causing drug-nutrient reactions? Correct
Answers Phenytoin
A patient who is receiving continuous enteral feedings has just
vomited 250 mL of milky green fluid. This is a concern because
this most likely demonstrates that the patient has: Correct
Answers tube feeding intolerance.
A patient with a history of emphysema, diabetes, and
hyperlipidemia is in the critical care unit on a ventilator. The
nutrition assessment notes that the patient has a protein and
vitamin deficiency and is underweight. Which formula for
nutritional assessment is most appropriate? Correct Answers
Fiber-added formula
A patient with acute pancreatitis is started on parenteral
nutrition. The student nurse listed possible interventions for this
patient. Which intervention needs correction before finalizing
the plan of care? Correct Answers Infuse antibiotics through
the intravenous line.
A patient, who has a tube feeding, requires a chest x-ray study
for evaluation of a cough. To reduce the risk of aspiration, the
nurse: Correct Answers stops feedings 10 to 15 minutes before
placing flat to obtain the radiograph.
A patients feeding tube has been successfully placed in the small
intestine with continuous flow tube feeding. The nurse knows
that this approach was chosen because: Correct Answers the
A patient has been admitted to the critical care unit after a
stroke. After failing a swallow study, the patient is placed on
enteral feedings. Following placement of a nasogastric tube for
tube feeding, what is the next critical step? Correct Answers
Obtain a chest radiograph.
A patient is being fed through a nasogastric tube placed in his
stomach. The nurse would carry out which intervention to
minimize aspiration risk? Correct Answers Elevate the head of
the bed 30 degrees.
A patient is being ventilated and has been started on enteral
feedings with a nasogastric small-bore feeding tube. What is the
primary reason the nurse must frequently assess tube placement?
Correct Answers To prevent aspiration of the feedings
A patient is having complications from abdominal surgery and
remains NPO. Because enteral tube feedings are not possible,
the decision is to initiate parenteral feedings. What are the major
complications for this therapy? Correct Answers Fluid and
electrolyte imbalances and sepsis
A patient is receiving enteral feedings and has just vomited 250
mL of milky green liquid. The nurse holds the tube feeding,
which had been infusing at 100 mL/hr. The nurse knows that the
next action should be: Correct Answers recheck the residual in
2 hours.
, A patient is receiving enteral tube feedings and has developed
drug-nutrient interactions. The nurse recognizes which drug as
having the potential for causing drug-nutrient reactions? Correct
Answers Phenytoin
A patient who is receiving continuous enteral feedings has just
vomited 250 mL of milky green fluid. This is a concern because
this most likely demonstrates that the patient has: Correct
Answers tube feeding intolerance.
A patient with a history of emphysema, diabetes, and
hyperlipidemia is in the critical care unit on a ventilator. The
nutrition assessment notes that the patient has a protein and
vitamin deficiency and is underweight. Which formula for
nutritional assessment is most appropriate? Correct Answers
Fiber-added formula
A patient with acute pancreatitis is started on parenteral
nutrition. The student nurse listed possible interventions for this
patient. Which intervention needs correction before finalizing
the plan of care? Correct Answers Infuse antibiotics through
the intravenous line.
A patient, who has a tube feeding, requires a chest x-ray study
for evaluation of a cough. To reduce the risk of aspiration, the
nurse: Correct Answers stops feedings 10 to 15 minutes before
placing flat to obtain the radiograph.
A patients feeding tube has been successfully placed in the small
intestine with continuous flow tube feeding. The nurse knows
that this approach was chosen because: Correct Answers the
