Deck 10: Enteral Nutrition

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Question
Which of the following are factors that may identify patients in need of enteral nutrition support?

A) Average feeding time of 15 minutes
B) Inadequate growth
C) Weight loss
D) Weight for length or BMI z-score below -1
E) All of these
F) Inadequate growth, Weight loss, and Weight for length or BMI z-score below -1
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Question
Side effects of cancer therapy are potential contraindications for enteral nutrition.
Question
Height is the best way to determine energy needs in patients with suspected altered energy needs.
Question
Generally, how much formula does an infant need to receive to provide adequate amounts of vitamins and minerals without use of a multivitamin?

A) 500 mL
B) 1000 mL
C) 1500 mL
D) 2000 mL
Question
Formulas that contain hydrolyzed protein have a higher osmolality than formulas that contain intact protein.
Question
Human milk is the optimal feeding choice for infants.
Question
Which of the following factors are important in selecting formula for a patient?

A) Age
B) Medical status/history
C) Cost
D) Product availability
E) All of these
F) Age and Medical status/history
Question
Powdered infant formula is typically more expensive than ready to feed formula.
Question
Commercial ready to use blenderized formulas are available and preferred over homemade blenderized formula.
Question
Which feeding tube or tubes are appropriate for patients with a known history of aspiration?

A) Gastrostomy tube
B) Nasoduodenal tube
C) Jejunostomy tube
D) Nasogastric tube
E) Gastrostomy tube and Jejunostomy tube
F) Nasoduodenal tube and Jejunostomy tube
Question
Continuous tube feeds are more physiologic and are generally preferred over bolus feeds.
Question
What is the ideal amount of time it should take to reach the goal rate when first initiating enteral nutrition?

A) 5 hours
B) 72 hours
C) 48 hours
D) 24-48 hours
Question
What are some common causes of nausea and vomiting in patients receiving enteral nutrition?

A) Inadequate flushing of the tube
B) Incorrect tube placement
C) Increased fluid losses
D) Too rapid advancement of volume
E) Too high of a concentration
F) Incorrect tube placement, Too rapid advancement of volume, and Too high of a concentration
G) Incorrect tube placement and Too rapid advancement of volume only
Question
There is very little concern for bacterial contamination with formulas that require reconstitution.
Question
Which thickener is preferred from a nutrition standpoint?

A) Carbohydrate based powdered thickeners
B) Gel based thickeners
C) Infant cereals
Question
Successful enteral nutrition cannot be provided in the home environment.
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Deck 10: Enteral Nutrition
1
Which of the following are factors that may identify patients in need of enteral nutrition support?

A) Average feeding time of 15 minutes
B) Inadequate growth
C) Weight loss
D) Weight for length or BMI z-score below -1
E) All of these
F) Inadequate growth, Weight loss, and Weight for length or BMI z-score below -1
F
2
Side effects of cancer therapy are potential contraindications for enteral nutrition.
True
3
Height is the best way to determine energy needs in patients with suspected altered energy needs.
False
4
Generally, how much formula does an infant need to receive to provide adequate amounts of vitamins and minerals without use of a multivitamin?

A) 500 mL
B) 1000 mL
C) 1500 mL
D) 2000 mL
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5
Formulas that contain hydrolyzed protein have a higher osmolality than formulas that contain intact protein.
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6
Human milk is the optimal feeding choice for infants.
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7
Which of the following factors are important in selecting formula for a patient?

A) Age
B) Medical status/history
C) Cost
D) Product availability
E) All of these
F) Age and Medical status/history
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8
Powdered infant formula is typically more expensive than ready to feed formula.
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9
Commercial ready to use blenderized formulas are available and preferred over homemade blenderized formula.
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10
Which feeding tube or tubes are appropriate for patients with a known history of aspiration?

A) Gastrostomy tube
B) Nasoduodenal tube
C) Jejunostomy tube
D) Nasogastric tube
E) Gastrostomy tube and Jejunostomy tube
F) Nasoduodenal tube and Jejunostomy tube
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11
Continuous tube feeds are more physiologic and are generally preferred over bolus feeds.
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12
What is the ideal amount of time it should take to reach the goal rate when first initiating enteral nutrition?

A) 5 hours
B) 72 hours
C) 48 hours
D) 24-48 hours
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13
What are some common causes of nausea and vomiting in patients receiving enteral nutrition?

A) Inadequate flushing of the tube
B) Incorrect tube placement
C) Increased fluid losses
D) Too rapid advancement of volume
E) Too high of a concentration
F) Incorrect tube placement, Too rapid advancement of volume, and Too high of a concentration
G) Incorrect tube placement and Too rapid advancement of volume only
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14
There is very little concern for bacterial contamination with formulas that require reconstitution.
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15
Which thickener is preferred from a nutrition standpoint?

A) Carbohydrate based powdered thickeners
B) Gel based thickeners
C) Infant cereals
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16
Successful enteral nutrition cannot be provided in the home environment.
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