EXAM 4: NUTRITION, BOWEL AND URINARY
CORRECT AND WELL DETAILED
A nurse is evaluating a patient following the administration of an enteral feeding. Which
findings are normal and are criteria that indicate patient tolerance to the feeding? Select all
that apply
a. Absence of nausea, vomiting
b. Weight gain
c. Bowel sounds within normal range
d. Large amount of gastric residue
e. Absence of diarrhea and constipation
f. Slight abdominal pain and distention - ANSWER- a, C, e
A nurse is feeding an older adult patient who has dementia. Which intervention should the
nurse perform to facilitate this process?
a.Stroke the underside of the patient's chin to promote swallowing.
b.Serve meals in different places and at different times.
c.Offer a whole tray of various foods to choose from.
d.Avoid between-meal snacks to ensure hunger at mealtime. - ANSWER- a. To feed a
patient with dementia, the nurse should stroke the underside of the patient's chin to
promote swallowing, serve meals in the same place and at the same time, provide one food
item at a time since a whole tray may be overwhelming, and provide between-meal snacks
that are easy to consume using the hands.
A patient who has COPD is refusing to eat. Which intervention would be most helpful in
stimulating appetite in this patient?
a.Administering pain medication after meals.
b.Encouraging food from home when possible.
c.Scheduling his respiratory therapy before each meal.
, d.Reinforcing the importance of his eating exactly what is delivered to him. - ANSWER-
B. Food from home that the patient enjoys may stimulate him to eat. Pain medication
should be given before meals, respiratory therapy should be scheduled after meals, and
telling the patient what he must eat is no guarantee that he will comply.
A nurse is feeding a patient who is experiencing dysphagia. Which nursing intervention
would the nurse initiate for this patient?
a. Feed the patient solids first and then liquids last.
b. Place the head of the bed at a 30-degree angle during feeding.
c. Puree all foods to a liquid consistency.
d. Provide a 30-minute rest period prior to mealtime. - ANSWER- d. When feeding a
patient who has dysphagia, the nurse should provide a 30-minute rest period prior to
mealtime to promote swallowing; alternate solids and liquids when feeding the patient; sit
the patient upright or, if on bedrest, elevate the head of the bed at a 90-degree angle; and
initiate a nutrition consult for diet modification and food size and/or consistency.
A nurse is evaluating patients to determine their need for parenteral nutrition (PN). Which
patients would be the best candidates for this type of nutritional support? Select all that
apply.
a. A patient with irritable bowel syndrome who has intractable diarrhea
b. A patient with celiac disease not absorbing nutrients from the GI tract
c. A patient who is underweight and needs short-term nutritional support
d. A patient who is comatose and needs long-term nutritional support
e. A patient who has anorexia and refuses to take foods via the oral route
f. A patient with burns who has not been able to eat adequately for 5 day - ANSWER-
a, b, f
A nurse is feeding a patient who states that she is feeling nauseated and can't eat what is
being offered. What would be the most appropriate initial action of the nurse in this
situation?
a.Remove the tray from the room.
b.Administer an antiemetic and encourage the patient to take small amounts.
CORRECT AND WELL DETAILED
A nurse is evaluating a patient following the administration of an enteral feeding. Which
findings are normal and are criteria that indicate patient tolerance to the feeding? Select all
that apply
a. Absence of nausea, vomiting
b. Weight gain
c. Bowel sounds within normal range
d. Large amount of gastric residue
e. Absence of diarrhea and constipation
f. Slight abdominal pain and distention - ANSWER- a, C, e
A nurse is feeding an older adult patient who has dementia. Which intervention should the
nurse perform to facilitate this process?
a.Stroke the underside of the patient's chin to promote swallowing.
b.Serve meals in different places and at different times.
c.Offer a whole tray of various foods to choose from.
d.Avoid between-meal snacks to ensure hunger at mealtime. - ANSWER- a. To feed a
patient with dementia, the nurse should stroke the underside of the patient's chin to
promote swallowing, serve meals in the same place and at the same time, provide one food
item at a time since a whole tray may be overwhelming, and provide between-meal snacks
that are easy to consume using the hands.
A patient who has COPD is refusing to eat. Which intervention would be most helpful in
stimulating appetite in this patient?
a.Administering pain medication after meals.
b.Encouraging food from home when possible.
c.Scheduling his respiratory therapy before each meal.
, d.Reinforcing the importance of his eating exactly what is delivered to him. - ANSWER-
B. Food from home that the patient enjoys may stimulate him to eat. Pain medication
should be given before meals, respiratory therapy should be scheduled after meals, and
telling the patient what he must eat is no guarantee that he will comply.
A nurse is feeding a patient who is experiencing dysphagia. Which nursing intervention
would the nurse initiate for this patient?
a. Feed the patient solids first and then liquids last.
b. Place the head of the bed at a 30-degree angle during feeding.
c. Puree all foods to a liquid consistency.
d. Provide a 30-minute rest period prior to mealtime. - ANSWER- d. When feeding a
patient who has dysphagia, the nurse should provide a 30-minute rest period prior to
mealtime to promote swallowing; alternate solids and liquids when feeding the patient; sit
the patient upright or, if on bedrest, elevate the head of the bed at a 90-degree angle; and
initiate a nutrition consult for diet modification and food size and/or consistency.
A nurse is evaluating patients to determine their need for parenteral nutrition (PN). Which
patients would be the best candidates for this type of nutritional support? Select all that
apply.
a. A patient with irritable bowel syndrome who has intractable diarrhea
b. A patient with celiac disease not absorbing nutrients from the GI tract
c. A patient who is underweight and needs short-term nutritional support
d. A patient who is comatose and needs long-term nutritional support
e. A patient who has anorexia and refuses to take foods via the oral route
f. A patient with burns who has not been able to eat adequately for 5 day - ANSWER-
a, b, f
A nurse is feeding a patient who states that she is feeling nauseated and can't eat what is
being offered. What would be the most appropriate initial action of the nurse in this
situation?
a.Remove the tray from the room.
b.Administer an antiemetic and encourage the patient to take small amounts.
