Question 1

Which complications does the nurse monitor for in a client receiving enteral nutrition? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The nurse should monitor for aspiration, diarrhea, and electrolyte disturbances in clients receiving enteral nutrition. Aspiration can occur if the feeding tube is misplaced and formula enters the lungs instead of the stomach. Diarrhea is a common complication of enteral nutrition due to the volume and composition of the formula. Electrolyte disturbances can occur due to imbalances in the formula or if the body is not able to absorb or excrete certain electrolytes properly. Infiltration and systemic infections are not typically associated with enteral nutrition.

Question 2

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

Accepted Answer

Elevating the head of the bed to 30 degrees can help reduce the risk of aspiration in clients receiving enteral nutrition. This position helps prevent formula from flowing back from the stomach into the lungs. Administering the formula at room temperature, adding fibre to the formula, and administering an antidiarrheal agent are not interventions that specifically address the risk of aspiration.

Question 3

The nurse is teaching a client about the importance of the macromineral calcium in the diet. Which responses by the client indicate understanding of the information presented by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The client demonstrates understanding that calcium is important for bone construction, muscle contractions, and nerve conduction. These are all true statements about the role of calcium in the body. Calcium is not directly involved in fluid balance or the immune system.

Question 4

Which of the following are considered indications for magnesium? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Which of the following are considered indications...

Question 5

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

Accepted Answer

Enteral nutrition requires a functional gastrointestinal (GI) tract to ensure that the nutrients are properly absorbed and utilized by the body. This method of nutritional support is used when a person cannot consume food orally but their digestive system is still capable of processing nutrients.

Question 6

The nurse is caring for a client with general undernutrition. 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.

Accepted Answer

Isosource and Resource are standard enteral formulas suitable for clients with general undernutrition, providing balanced nutrition.

Question 7

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

Accepted Answer

The answer of The nurse is preparing to administer an...

Question 8

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

Accepted Answer

Amino acids are the building blocks of proteins, so adding them to a parenteral nutrition solution would promote the production of proteins. Glucose is typically provided separately in parenteral nutrition solutions, while albumin and triglycerides are produced by the body using amino acids as building blocks.

Question 9

What enteral formula is indicated for clients for with digestive disorders?

Accepted Answer

Oligomeric formulas are designed for individuals with digestive disorders as they contain partially digested nutrients, making them easier to absorb.

Question 10

The nurse is instructing a client recovering from a severe burn injury about enteral nutrition. Which statement by the client indicates understanding of instruction?

Accepted Answer

Option D correctly identifies enteral nutrition as a source of protein necessary for cell growth, repair, and tissue maintenance. Option A is incorrect as enteral nutrition alone may not maintain adequate hydration. Option B is also incorrect as diarrhea can be a potential side effect. Option C is incorrect as enteral nutrition is not designed for dumping syndrome.

Question 11

Which of the following would be indications for an injection of cyanocobalamin (vitamin B12)?

Accepted Answer

Cyanocobalamin (vitamin B12) injections are indicated for pernicious anemia, which is caused by impaired absorption of vitamin B12 due to a lack of intrinsic factor. It is not used for iron-deficiency anemia, sickle-cell anemia, or aplastic anemia. Iron-deficiency anemia is treated with iron supplements, while sickle-cell anemia and aplastic anemia have different treatments depending on the specific symptoms and severity of the condition.

Question 12

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

Accepted Answer

Parenteral nutrition is used for clients with a nonfunctioning GI tract, such as those who have had surgery on their digestive system or have inflammatory bowel disease. Clients in a comatose state or receiving radiation therapy to the neck may also require parenteral nutrition but it is not always necessary. Parenteral nutrition is typically not used as the primary means of meeting the nutritional needs of individuals with HIV-AIDS.

Question 13

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.

Accepted Answer

The answer of The nurse on a medical-surgical unit anticipates...

Question 14

What does the nurse verify prior to administering a hypertonic total parenteral nutrition solution?

Accepted Answer

A hypertonic total parenteral nutrition solution requires a central venous access device to administer, as it could cause chemical irritation and damage to peripheral veins. The nurse should verify the appropriate placement and function of the central line prior to administering the solution. Checking for serum electrolyte imbalances and an insulin coverage scale may be important in other situations, but they are not specific to administering a hypertonic TPN solution.

Quiz 7: Pharmacology of Alterations in the Gastrointestinal System

Which complications does the nurse monitor for in a client receiving enteral nutrition? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

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

Which of the following are considered indications for magnesium? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

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

The nurse is caring for a client with general undernutrition. 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.

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

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

What enteral formula is indicated for clients for with digestive disorders?

The nurse is instructing a client recovering from a severe burn injury about enteral nutrition. Which statement by the client indicates understanding of instruction?

Which of the following would be indications for an injection of cyanocobalamin (vitamin B12) ?

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

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.

What does the nurse verify prior to administering a hypertonic total parenteral nutrition solution?