Deck 42: Nutritional Supplements

Question 1

A female patient has been receiving both radiation and chemotherapy for her cancer.She has developed anorexia caused by the treatments and needs nutritional supplementation.The nurse knows that the physician will likely initiate which therapy?

A)Central total parenteral nutrition (TPN)
B)Peripheral TPN
C)Oral nutritional supplementation
D)Nasogastric enteral supplementation

Answer 1

Peripheral TPN

Question 2

A patient has been receiving TPN.Upon assessment,the nurse notes that the patient's blood pressure is elevated,and pulse is weak and elevated.The patient seems confused,and there is new pitting edema around the ankles.What does the nurse suspect?

A)Hyperglycemia
B)Hypoglycemia
C)Infection
D)Fluid overload

Answer 2

Fluid overload

Question 3

Which is a potential adverse effect of TPN?

A)Anorexia
B)Headache
C)Fluid overload
D)Diarrhea

Answer 3

Fluid overload

Question 4

To ensure patient safety,how often should the nurse assess the TPN infusion?

A)Every 15 minutes
B)Every 30 minutes
C)Every 60 minutes
D)Every 2 hours

Question 5

A patient's peripheral parenteral nutrition bag has run dry before the physician has ordered a new bag.The best action by the nurse is to hang which solution until the new bag arrives?

A)10% dextrose in water
B)20% dextrose in water
C)0.9% sodium chloride
D)Lactated Ringer's solution

Question 6

An older adult patient needs to take an enteral supplement to improve overall nutritional status.Which formulations provides complex nutrients?

A)Ensure
B)Moducal
C)ProMod
D)Microlipid

Question 7

A patient is receiving an enteral tube feeding at 100 mL per hour.When the nurse checks the residual,210 mL is obtained.Which action by the nurse is appropriate?

A)Slowing the rate to 50 mL per hour
B)Returning the aspirate and continuing the feeding as ordered
C)Returning the aspirate, stopping the feeding, and contacting the physician
D)Discarding the aspirate, stopping the feeding, and contacting the physician

Question 8

During the night shift,a patient's TPN infusion finished,but no TPN solution is on hand.Which condition does the nurse know may occur if the TPN infusion is discontinued abruptly?

A)Fluid overload
B)Hyperglycemia
C)Dumping syndrome
D)Rebound hypoglycemia

Question 9

What is a possible complication of long-term administration of peripheral TPN?

A)Diarrhea
B)Phlebitis
C)Hypokalemia
D)Hypoglycemia

Question 10

What is the most common adverse effect from nutritional supplements?

A)Diarrhea
B)Constipation
C)Fluid overload
D)Peptic ulcer disease