HESI RN NUTRITION EXAM/ RN HESI NUTRITION E
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XAM ALL QUESTIONS AND 100% CORRECT ANSW
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ERS| MOST RECENT AND COMPLETE VERSION AL
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READY GRADED A+| BRAND NEW!!! m m m m
the nurse is caring for a patient who just had an abdominal surgery. which diet w
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ould the nurse expect to administer in the initial post-op period?
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A) soft foods m
B) clear liquids m
C) pureed foods m
D) parenteral nutrition - ANSWER: B) clear liquids
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when oral feedings are first started post-
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op, clear liquids should be initial and then advancement to soft foods or regular d
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iet. pureed foods are for those who have difficulty chewing or swallowing. Paren
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teral nutrition is ordered for patients unable to tolerate an oral diet.
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what is the advantage of a total nutrient admixture (TNA)?
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A) increases amino acid production m m m
B) allows for lipid infusion over 8 hours
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C) decreases the risk for hyperglycemia m m m m
D) reduces the accumulation of hepatic fat -
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ANSWER: D) reduces the accumulation of hepatic fat
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TNA reduces the accumulation of hepatic fat. TPN does not increase amino acid
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production, allow for lipid infusion over 8 hours or reduce the risk for hyperglyc
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emia.
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what information is needed to calculate the rate and feeding schedule of a patient rece
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iving enteral nutrition?
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(select all) m
A) weight
B) Height
C) Injury factor m
D) pre-albumin level m
E) metabolic needs - ANSWER: A,B,C,E m m m m
the pre-
m
albumin level is not needed for calculation of enteral nutrition it is a factor to be
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monitored for when receiving enteral nutrition.
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which factors should be taken into consideration before implementing central par
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enteral nutrition? m
(Select all) m
A) patients wishes m
B) medical prognosis m
C) severity of malnutrition m m
D) GI dysfunction
m
E) degree of hyper-metabolism - ANSWER: A,B,C,D
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The degree of hypercatabolism is needed for consideration with Central parenteral nut
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rition not hypermetabolism
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what is the most appropriate route for short term enteral therapy?
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A) nasoenteric
B) enterostomy
C) nasojejunal
D) nasoduodenal - ANSWER: A) nasoenteric m m m m
most appropriate route is nasoenteric. It is inserted vis nasal route to the stomach or s
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mall intestine and is used for short term therapy for about 6 weeks or less
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which Iv fluid does the nurse expect to use for parenteral feeding via peripheral v
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ein? - ANSWER: dextrose in water 5% (D5W)
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which nutrition related physical assessment finding would the nurse expect to see
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in a patient with anorexia nervosa?
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A) dental caries m
B) bone pain m
C) heart palpitationsm
D) GI bleed - ANSWER: B) bone pain
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starvation can cause osteoporosis which includes bone pain.
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Which intervention can be implemented for a patient receiving enteral nutrition a
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nd is experiencing tension and fullness?
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A) chewing sugarless gum m m
B) lifting the head of bed 30-45 degrees
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C) relaxing and deep breathing after each feeding
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D) using continuous feedings rather than bolus feedings -
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ANSWER: C) relaxing and deep breathing after each feeding.
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chewing sugarless gum would help with thirst and mouth dryness. living the head
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of the bed would prevent aspiration. using continuous rather than bolus feedings is
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mindicated for a patient with diarrhea m m m m m
During a home visit to a patient receiving home enteral nutrition, the greatest sou
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rce of concern would be if the
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A) patient were receiving enteral feedings only during the night.
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B) patient has gained 1 pound during the past month.
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C) family complains that they miss being able to eat meals together. D) family i
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s blending family meals to make their own formula. - ANSWER: D)
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Home-
blended tube feedings would be a concern because their nutrient composition, osm
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olality, and consistency are inconsistent; because they can easily become contami
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nated and cause foodborne illness; and because they may clog feeding tubes. Rece
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iving enteral feedings at night can provide adequate nutrition without the inconven
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ience of being attached to a feeding tube during the day. If the family misses eatin
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g meals together, they can be encouraged to play board games and enjoy other act
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ivities together instead. Gaining 1 pound in a month is not a concern. If weight gai
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n continues, the amount of formula can be adjusted slightly.
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If a patient has had a stroke and needs enteral feedings because he or she cannot c
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hew or swallow but has no other medical problems, he or she can be fed with a
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formula.
A) isotonic
B) modular
C) elemental