Nu 220 Final Review Exam Questions With Complete Solutions

NU 220 FINAL REVIEW EXAM QUESTIONS WITH COMPLETE SOLUTIONS Mr. Wilson's low albumin level may indicate a depletion of: a. body fat b. body proteins c. vitamin D d. iron - Answer-b. body proteins The most appropriate diet order for Mr. Salazar is a: a. regular diet b. soft diet c. mechanical soft diet d. blenderized diet - Answer-d. blenderized diet Mr. Salazar will need a higher __ intake to meet his nutritional needs for recovery. a. potassium b. kcalorie c. iron d. vegetable - Answer-b. kcalorie Which of the following foods should be excluded from Mr. Salazar's diet for the time being? a. nuts b. ice cream c. pudding d. potatoes - Answer-a. nuts Before leaving the hospital, Mr. Salazar will need nutrition education on: a. how to use a blender b. food-mediacation interactions c. food safety d. weight loss - Answer-b. food-mediacation interactions Which of the following factors is most important to consider when providing nutrition education to Mr. Salazar? a. weight b. gender c. literacy level d. marital status - Answer-c. literacy level Because Mr. Salazar is taking lovastatin, he should be counseled to avoid: a. apple juice b. grapefruit juice c. green leafy vegetables d. milk - Answer-b. grapefruit juice Which form of nutrition support is appropriate for Mr. Avery at this time? a. total parenteral nutrition b. tube feeding c. oral enteral supplement d. peripheral parenteral nutrition - Answer-b. tube feeding Mr. Avery's physician is hopeful that his swallowing ability will improve in the coming weeks. Which feeding route would be most appropriate for Mr. Avery at this time? a. orogastric b. nasojejunal c. nasogastric d. parenteral - Answer-b. nasojejunal In the absence of any pre-existing medical problems or problems with digestion and absorption, the type of enteral formula that would be most appropriate for Mr. Avery is a(n): a. standard formula b. elemental formula c. specialized formula d. 3 in 1 solution - Answer-a. standard formula Mr. Avery's feeding is being delivered continuously by an infusion pump. The advantage of a continuous feeding is: a. an accurate and steady flow rate b. less expense c. more freedom of movement for the patient d. less risk of diarrhea - Answer-a. an accurate and steady flow rate After two weeks, Mr. Avery is moved to a rehab facility. It would be appropriate at this time to change his feeding method to: a. total parenteral nutrition b. an intermittent feeding c. an oral supplement d. peripheral parenteral nutrition - Answer-b. an intermittent feeding Mr. Avery's swallowing ability and intake are improving. He is now consuming about 2/3 of his estimated nutrient needs from oral intake. It would be appropriate at this time to: a. discontinue the tube feeding b. increase the rate of the tube feeding c. decrease the rate of the parenteral feeding d. discontinue the parenteral feeding - Answer-a. discontinue the tube feeding Which parenteral infusion complication is Mr. Edward at risk for developing? a. refeeding syndrome b. hypoglycemia c. hypernatremia d. hypovolemia - Answer-a. refeeding syndrome Which of Mr. Edward's conditions requires that he be kept NPO? a. history of alcoholism b. pancreatitis with vomiting c. malnutrition w/ wasting d. end-stage cancer - Answer-b. pancreatitis with vomiting To avoid liver impairment associated with parenteral feeding, the nutrition support team will need to avoid which of the following when calculating Mr. Edward's PPN orders? a. giving the patient excess kcalories b. giving the patient excess dextrose c. giving the patient excess lipids d. all of the above - Answer-c. giving the patient excess lipids Which type of parenteral feeding administration would be least likely to cause Mr. Edward a liver-related abnormality? a. cyclic infusion b. continuous infusion c. oral feeding d. total parenteral nutrition - Answer-a. cyclic infusion The nutrition support team determines how much carbohydrate, protein, fat, vitamins, minerals, and fluid they will administer to Mr. Edwards. Which of these components of Mr. Edward's peripheral nutrition infusion will provide the greatest number of kcalories in the smallest volume of fluid? a. 250 mL of a 20% lipid emulsion b. 250 mL of a 10% dextrose solution c. 250 mL of a 10% amino acid solution d. 250 mL of a 10% lipid emulsion - Answer-a. 250 mL of a 20% lipid emulsion Mr. Edward's blood glucose level rises to 350 mg/dL. What will the health care team likely do about this? a. nothing; this is acceptable for a patient receiving TPN b. taper off his lipids infusion c. stop his TPN infusion entirely d. provide insulin with his TPN - Answer-d. provide insulin with his TPN