Lutz's nutrition and diet !? !? !? !?
therapy 8th edition Exam 3 !? !? !? !? !?
prep with accurate answers !? !? !?
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 answer ✔-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 answer ✔-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
!? !? !? !? !? !? !? !? !? !? !? !?
answer ✔-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 answer ✔-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 answer ✔-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 answer ✔-
!? !? !? !? !? !? !? !? !?
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
!? !? !? !? !? !? !? !? !? !?
answer ✔-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 answer ✔-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 answer ✔-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 answer ✔Provide
!? !? !? !? !? !? !? !? !?
adequate fluids. !?
Which should occur weekly in a client who receives parenteral nutrition?
!? !? !? !? !? !? !? !? !? !?
-Liver function test
!? !?
-Serum electrolytes !?
-Complete blood count !? !?
therapy 8th edition Exam 3 !? !? !? !? !?
prep with accurate answers !? !? !?
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 answer ✔-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 answer ✔-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
!? !? !? !? !? !? !? !? !? !? !? !?
answer ✔-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 answer ✔-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 answer ✔-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 answer ✔-
!? !? !? !? !? !? !? !? !?
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
!? !? !? !? !? !? !? !? !? !?
answer ✔-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 answer ✔-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 answer ✔-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 answer ✔Provide
!? !? !? !? !? !? !? !? !?
adequate fluids. !?
Which should occur weekly in a client who receives parenteral nutrition?
!? !? !? !? !? !? !? !? !? !?
-Liver function test
!? !?
-Serum electrolytes !?
-Complete blood count !? !?
