Question 1

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

Accepted Answer

Enteric-coated pills should not be administered via PEG tube as they are designed to dissolve in the small intestine and not in the stomach. Administering them via PEG tube may result in poor drug absorption and ineffective treatment. The other choices, including elixirs, suspensions, and reconstituted powders, can be administered via PEG tube with proper preparation and technique.

Question 2

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?
Select all that apply.

Accepted Answer

C,D,E

Question 3

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 4

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?
Select all that apply.

Accepted Answer

B) Central venous catheters (CVCs) are not rotated like peripheral IV catheters. They are placed in a large vein with the intention of remaining in place for the duration of therapy, which can be weeks to months, without the need for rotation to prevent infection. Proper care and maintenance, including dressing changes and line flushes, are critical to prevent infection.D) Total parenteral nutrition (TPN) is typically administered using an infusion pump rather than by gravity. The use of an infusion pump allows for precise control of the infusion rate, which is crucial for the safe administration of TPN, as it needs to be delivered at a consistent and controlled rate to prevent complications.

Question 5

The nurse on a medical-surgical unit anticipates that clients who would benefit from the administration of either parenteral or enteral nutrition include:
Select all that apply.

Accepted Answer

Clients with HIV who are vomiting, clients with IBS who are suffering from malnutrition, and anorexic clients who are refusing to eat by mouth may benefit from parenteral or enteral nutrition. Clients with minor burns who are preparing for discharge and clients who are status post-appendectomy without complications may not necessarily require these interventions.

Question 6

The nurse monitors a client receiving enteral feedings for which complications?
Select all that apply.

Accepted Answer

The nurse should monitor the client receiving enteral feedings for aspiration, diarrhea, and electrolyte disturbances. Aspiration occurs when the feeding solution enters the lungs instead of the stomach, causing respiratory distress. Diarrhea can result from intolerance to the feeding solution or changes in the gut flora. Electrolyte imbalances can occur due to the composition of the feeding solution or its administration rate. Infiltration and systemic infections are not directly related to enteral feedings.

Question 7

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):

Accepted Answer

Checking for crackles (rales) and weight gain are both signs of fluid overload, which can be a potential complication of parenteral nutrition therapy. This is due to the large amounts of fluid infused into the client's veins, leading to excessive fluid accumulation in the body. Monitoring for signs of fluid overload can help the nurse intervene promptly and prevent further complications.

Question 8

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

Accepted Answer

Oligomeric formulas are designed for clients with digestive disorders because they contain partially digested proteins and simple carbohydrates, making them easier to absorb for those with compromised digestion.

Question 9

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?

Accepted Answer

Enteral nutrition is important for clients recovering from burn injuries as it helps to provide the necessary nutrients, such as protein, to support cell growth and repair body tissues. Adequate hydration can be maintained with IV fluids, so option A is not the most accurate. Option B is not necessarily true for all clients receiving enteral nutrition as some may experience diarrhea as a side effect. Option C is not relevant to this client population as dumping syndrome is not a primary concern in burn injury recovery.

Question 10

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

Accepted Answer

Increasing the delivery rate of the enteral formula will provide the client with more calories and nutrients, potentially improving weight gain. Changing to a bolus feeding schedule, decreasing protein content, and providing free water to dilute a hypertonic formula may not necessarily address the underlying issue of insufficient weight gain.

Question 11

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 to prevent aspiration during enteral feeding by promoting proper digestion and preventing the formula from flowing back into the lungs. Administering the formula at room temperature, adding fiber to the formula, or administering an antidiarrheal agent would not be effective in reducing the risk of aspiration.

Question 12

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

Accepted Answer

Parenteral nutrition is used to provide nutrition for clients with nonfunctioning GI tracts who cannot receive nutrition orally or enterally (through the GI tract).

Question 13

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

Accepted Answer

Prior to administering a hypertonic total parenteral nutrition solution, a central venous access device is required as it can cause irritation to peripheral veins.

Question 14

The nurse is preparing to administer an enteral feeding to a client on a medical-surgical unit.This feeding can be administered by:
Select all that apply.

Accepted Answer

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

Question 15

The nurse is caring for a client with chronic pancreatitis.Which enteral formulas would be most appropriate for this client?
Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 16

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

Accepted Answer

Amino acids are the building blocks of proteins. Adding amino acids to a parenteral nutrition solution promotes the production of proteins.

Question 17

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

Accepted Answer

The use of large-bore feeding tubes is associated with damage to the nasal mucosa during enteral feeding. Use of smaller gauge tubes can help prevent this type of injury. Secure feeding tube placement, flushing the feeding tube, and alternating nares for placement are important for other reasons but not specifically for preventing nasal mucosal damage.

Question 18

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

Accepted Answer

Checking blood glucose levels is important because the symptoms described can be indicative of hypoglycemia, which can occur with parenteral nutrition.

Question 19

Amino acids,a component of total parenteral nutrition,are needed by the body to:
Select all that apply.

Accepted Answer

Amino acids help conserve lean body mass, promote wound healing, and are essential for protein production. They are not primarily used as a source of calories or as metabolic cofactors for enzymes.

Question 20

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

Accepted Answer

Phenytoin (Dilantin) can interact with enteral feedings and reduce its absorption. Therefore, holding the feeding two hours before and after administering the medication can increase its effectiveness. Checking the drug level before administering the dose (B) is important, but it is not the most effective way to administer the medication. Requesting an alternate form and route (C) is not necessary if the oral form is safe and effective. Diluting the liquid form with water (D) is not recommended as it can affect the drug's efficacy and increase the risk of adverse effects.

Quiz 62: Enteral and Parenteral Nutrition

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

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? 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 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? Select all that apply.

The nurse on a medical-surgical unit anticipates that clients who would benefit from the administration of either parenteral or enteral nutrition include: Select all that apply.

The nurse monitors a client receiving enteral feedings for which complications? Select all that apply.

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) :

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

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?

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

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

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

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

The nurse is preparing to administer an enteral feeding to a client on a medical-surgical unit.This feeding can be administered by: Select all that apply.

The nurse is caring for a client with chronic pancreatitis.Which enteral formulas would be most appropriate for this client? Select all that apply.

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

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

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

Amino acids,a component of total parenteral nutrition,are needed by the body to: Select all that apply.

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