Deck 14: Nutrient Delivery

Question 1

Clients receiving which of the following special diets would have vegetable intake limited to juice or blended items?
1) Clear liquid
2) Full liquid
3) Mechanical soft
4) Pureed

Answer 1

4

Question 2

Which of the following is a recommended procedure for administering medications through a feeding tube?
1) Mix all the medications together, crush thoroughly, mix with water, and add to the formula.
2) Remove any hard coatings from medications before inserting the powder into the feeding tube.
3) Flush the tube with at least 30 mL of sterile water before giving the medication and before resuming the tube-feeding formula.
4) Administer each medication after flushing the tube with 30 mL of sterile isotonic saline.

Answer 2

3

Question 3

For which of the following clients would a nurse routinely refer the client to the dietitian?
1) 28-year-old male client with pressure ulcers
2) 45-year-old female client admitted for an appendectomy
3) 63-year-old female client receiving estrogen replacement therapy
4) 81-year-old male client scheduled to undergo a total hip replacement

Answer 3

1

Question 4

Which of the following would be least likely to occur with a tube feeding?
1) Refusal due to lack of palatability
2) Food intoxication
3) Nausea, vomiting, or diarrhea
4) Reflux and aspiration

Question 5

A client has ill-fitting dentures and says that she prefers to eat without using them. Which of the following texture modifications is the most appropriate?
1) Full liquid
2) Mechanical soft
3) Pureed
4) Soft

Question 6

Diarrhea in the tube-fed client is most likely to be caused by the following:
1) Constant continuously dripping feeding
2) Delivering feeding for 4 to 6 hours in a few minutes
3) Overhydration
4) Use of an infusion pump

Question 7

Some physicians permit clients receiving CPN to also consume a clear liquid or light diet in order to:
1) Keep the gut functioning
2) Achieve an optimal energy intake
3) Counteract the insulin that is contained in the CPN
4) Buffer the effects of the acidic CPN solution

Question 8

Which of the following is permitted on a clear liquid diet?
1) Diluted Cream of Wheat
2) Custard without raisins or nuts
3) Plain fruit-flavored gelatin
4) Orange juice

Question 9

A nurse has admitted a client to the hospital for a diagnostic workup. The physician did not specify a diet for the evening meal. Which of the following actions should the nurse take?
1) Call the dietitian for guidance.
2) Look in the diet manual for direction.
3) Obtain an order from a physician who is seeing another client.
4) Contact the client's physician for the order.

Question 10

When administering dextrose intravenously, the nurse understands that it provides how many kcalories per gram?
1) 3.4
2) 4
3) 7.1
4) 9

Question 11

Which of the following would the nurse be least likely to include when developing the plan of care involving nutrition for a client?
1) Assessing the client's need for nutrients
2) Ensuring nutrient delivery
3) Monitoring the client's food and fluid intake
4) Asking the client his or her height

Question 12

A client on a full liquid diet receives a milkshake from a family member. Which of the following actions would be appropriate?
1) Ask the dietitian to analyze the nutritive value of this outside source of nourishment.
2) Request the client to wait 30 minutes before consuming the milkshake so it can come to room temperature.
3) Observe and document the amount consumed.
4) Tell the client the milkshake is not permitted on his or her special diet.

Question 13

Too rapid an infusion of the concentrated glucose load in central parenteral nutrition may cause respiratory difficulty because of:
1) Carbon dioxide retention
2) Flatus accumulation in the intestine
3) Fatty deposits in the liver
4) Reactive hypoglycemia

Question 14

Which of the following practices would be least appropriate to reduce the possibility of contamination of a tube-feeding formula?
1) Using only home-prepared feedings
2) Discarding unused formula after 24 hours
3) Refrigerating and properly labeling remaining formula
4) Wiping the lid with isopropyl alcohol before opening it

Question 15

Which of the following types of feedings are appropriate for a client on a regular diet to increase both kcal and protein intake between meals?
1) Elemental or semielemental formulas
2) Standard or "polymeric" formulas
3) Modular supplements
4) Any of the above

Question 16

The best method to effectively combat iatrogenic malnutrition in the long term is by:
1) Estimating the client's energy expenditure
2) Carefully recording the patient's weight at regular intervals
3) Ordering a complete nutritional supplement for poor eaters
4) Encouraging clients to clean their plates

Question 17

A client needs adaptive devices to assist with self-feeding activities. The nurse anticipates contacting which of the following?
1) Dietitians
2) Nurse practitioners
3) Occupational therapists
4) Physical therapists

Question 18

Careful administration of central parenteral nutrition (CPN) includes:
1) Rapid advancement to complete nutrition
2) Close monitoring of infusion and laboratory values
3) Individualized protocols for administration
4) Flexible schedule to accommodate the client's activities

Question 19

The most life-threatening complication of nasogastric tube feeding is:
1) Aspiration
2) Food infection
3) Diarrhea
4) Bowel obstruction

Question 20

The most reliable method for determining placement of a nasogastric tube is:
1) Auscultation
2) Insufflation
3) Lack of signs of respiratory distress
4) X-ray

Question 21

Which of the following would be included in a full liquid diet but not a clear liquid diet?
1) Strained ground meat
2) Gelatin with fruit
3) Pureed chicken
4) Ice cream

Question 22

A 20% lipid solution contains how many kilocalories per milliliter?
1) 3.4
2) 1.1
3) 2
4) 0.9