Deck 62: Enteral and Parenteral Nutrition

Question 1

The nurse is caring for a client who is prescribed phenytoin (Dilantin).To most effectively administer this agent,the nurse will:

A)hold the enteral feeding two hours before and two hours after giving phenytoin (Dilantin).
B)check the client's phenytoin (Dilantin)level before administering the dose.
C)request an alternate form and route to administer the phenytoin (Dilantin).
D)dilute the liquid form of phenytoin (Dilantin)with 100 mL of water.

Answer 1

hold the enteral feeding two hours before and two hours after giving phenytoin (Dilantin).

Question 2

To decrease the risk of infection associated with the introduction of bacteria from the TPN solution,the nurse will:

A)change the dressing every 3 days.
B)inspect the IV insertion site for redness.
C)assess temperature daily.
D)use a 0.22-micron inline filter.

Answer 2

use a 0.22-micron inline filter.

Question 3

The nurse is instructing a client recovering from a severe burn injury about the importance of enteral nutrition.Which statement by the nurse is most accurate regarding this client's need for nutritional support?

A)"This product will maintain adequate hydration."
B)"This product is less likely to cause diarrhea."
C)"This product is designed for dumping syndrome."
D)"This product contains protein to support cell growth and to maintain and repair body tissues."

Answer 3

"This product contains protein to support cell growth and to maintain and repair body tissues."

Question 4

The nurse is preparing to administer amoxicillin via PEG tube to a client who is suffering from a UTI.To prevent a drug interaction,the nurse plans to hold the feeding for _____ hour(s)before and after administering the medication.
( Record your answer rounding to the nearest whole number).

Question 5

A nurse is preparing to administer medications to a client receiving enteral nutrition.Which medication should not be administered via a PEG tube?

A)An enteric-coated pill for oral administration
B)An elixir for oral administration
C)A suspension for oral administration
D)A reconstituted powder for oral administration

Question 6

The nurse is caring for a client with chronic pancreatitis.Which enteral formulas would be most appropriate for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Precision HN
B)Criticare HN
C)Vivonex T.E.N.
D)Peptamen
E)Vital HN

Question 7

Amino acids are added to a parenteral nutrition solution to promote the production of:

A)glucose.
B)albumin.
C)triglycerides.
D)proteins.

Question 8

For a client receiving enteral nutrition,which intervention is the nurse most likely to implement to reduce the risk of aspiration?

A)Administering the formula at room temperature
B)Elevating the head of the bed to 30 degrees
C)Administering an antidiarrheal agent
D)Adding fiber to the formula

Question 9

Prior to administering a hypertonic total parenteral nutrition solution,the nurse verifies that the client has:

A)serum electrolyte imbalances.
B)an insulin coverage scale.
C)robust peripheral veins.
D)a central venous access device.

Question 10

The nurse,providing information about nutritional support to a client,explains that to benefit from enteral nutrition that:

A)It must be administered as a continuous infusion.
B)The gag and swallow reflexes must be intact.
C)The client must not need specialized nutrient formulas.
D)The GI tract must be functional.

Question 11

The nurse is preparing to administer an enteral feeding to a client on a medical-surgical unit.This feeding can be administered by: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)nasogastric tube.
B)mouth.
C)percutaneous endoscopic gastrostomy (PEG)tube.
D)peripheral intravenous catheter.
E)central venous catheter.

Question 12

The nurse is teaching a client about the central venous catheter (CVC)that will be inserted to provide total parenteral nutrition (TPN).Which statements by the client indicate the need for further education? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)"The CVC will be located in the superior vena cava."
B)"The CVC will need to be rotated every few days to prevent infection."
C)"A CVC is being inserted because I need long-term TPN."
D)"You will deliver the TPN by gravity through the CVC."
E)"My subclavian vein will be used for the insertion of the CVC."

Question 13

The nurse is assessing a client for complications associated with parenteral nutrition therapy.The nurse checks for crackles (rales)and weight gain to identify a(n):

A)fluid overload.
B)pneumothorax.
C)air embolism.
D)infection.

Question 14

The nurse on a medical-surgical unit anticipates that clients who would benefit from the administration of either parenteral or enteral nutrition include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)a client with HIV who is vomiting.
B)a client with IBS who is suffering from malnutrition.
C)a client with minor burns who is preparing for discharge.
D)a client who is status postappendectomy without complications.
E)an anorexic client who is refusing to eat by mouth.

Question 15

The nurse recognizes the best enteral formula for clients with digestive disorders is the:

A)oligomeric formula.
B)modular formula.
C)specialized formula.
D)polymeric formula.

Question 16

The nurse anticipates that parenteral nutrition will be used to meet the nutritional needs of:

A)a client with a nonfunctioning GI tract.
B)a client in a comatose state.
C)a client receiving radiation therapy to the neck.
D)a client with HIV-AIDS.

Question 17

Amino acids,a component of total parenteral nutrition,are needed by the body to: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)conserve lean body mass.
B)serve as a primary source of calories.
C)act as metabolic cofactors for enzymes.
D)promote wound healing.
E)promote the production of proteins.

Question 18

Damage to the nasal mucosa during enteral feeding is associated with:

A)Secure feeding tube placement.
B)Use of large-bore feeding tubes.
C)Flushing the feeding tube before and after medication administration.
D)Alternating nares for feeding tube placement.

Question 19

The nurse monitors a client receiving enteral feedings for which complications? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Aspiration
B)Infiltration
C)Diarrhea
D)Systemic infections
E)Electrolyte disturbances

Question 20

The nurse is preparing to administer total parenteral nutrition (TPN)with lipids to a client for the first time.The nurse reviews the client's medication orders and notes that which medications pose a risk for a drug interaction? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Insulin
B)Ranitidine
C)Ampicillin
D)Warfarin
E)Kanamycin

Question 21

The nurse anticipates that the plan for a client with insufficient weight gain will include:

A)Changing to a bolus feeding schedule.
B)Decreasing the protein content of the formula.
C)Providing free water to dilute a hypertonic formula.
D)Increasing the delivery rate of the enteral formula.

Question 22

A client receiving parenteral nutrition has an increased pulse and pale,cool,clammy skin.Which intervention will the nurse perform?

A)Check blood glucose levels.
B)Administer insulin coverage.
C)Increase the parenteral nutrition infusion rate.
D)Stop the parenteral nutrition infusion.

Question 23

To evaluate stabilization of the nutritional status in a client receiving enteral nutrition,the nurse will:

A)measure abdominal girth.
B)monitor vital signs.
C)monitor daily weights.
D)assess oral intake.