Deck 55: Nutritional Supplements

Question 1

A patient has been receiving total parenteral nutrition. Upon assessment, the nurse notes these assessment findings: blood pressure 150/92 mm Hg (elevated from previous readings); pulse rate 110 beats/minute and weak; pitting edema on both ankles; and new-onset confusion. The nurse suspects that the patient is experiencing which condition?

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

Answer 1

Fluid overload

Question 2

A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has developed anorexia caused by the treatments, so she needs short-term nutrition supplementation. The nurse anticipates that the physician will initiate which therapy?

A) Central total parenteral nutrition
B) Peripheral parenteral nutrition
C) Oral nutritional supplements with meals
D) Nasogastric enteral supplementation

Answer 2

Peripheral parenteral nutrition

Question 3

During the night shift, a patient's total parenteral nutrition (TPN) infusion ran out, and the nurse discovered that there was no TPN solution on hand to continue the infusion. The pharmacy is closed and will not reopen for 5 hours. The nurse will have to implement measures to prevent which consequence of abruptly discontinuing TPN infusions?

A) Dehydration
B) Hyperglycemia
C) Dumping syndrome
D) Rebound hypoglycemia

Answer 3

Rebound hypoglycemia

Question 4

The nurse is administering a parenteral nutrition infusion to a patient. The nurse will implement which measures to prevent infection? (Select all that apply.)

A) Change the intravenous tubing set every 72 hours.
B) Change the intravenous tubing set every time a new bag is added to the infusion.
C) Use a 1.2-micron filter with each tubing set.
D) Monitor the patient's temperature every shift during the infusion.
E) Report any increase in the patient's temperature over 101° F ( 38.3° C ).

Question 5

The nurse is preparing to administer medications to a patient who is receiving a feeding via a gastric tube. When reviewing the patient's medication list, the nurse notes a potential concern about a food-drug interaction if which medication is listed?

A) multivitamin solution
B) phenytoin (Dilantin)
C) metoclopramide (Reglan)
D) warfarin (Coumadin)

Question 6

A patient is receiving a nutritional supplement via an enteral feeding tube. The nurse will monitor for which common adverse effect?

A) Diarrhea
B) Constipation
C) Fluid overload
D) Heartburn

Question 7

A patient with type 2 diabetes will be receiving a nasogastric tube feeding for a few days. The nurse expects which type of formula to be used?

A) Jevity
B) Ensure Plus
C) Glucerna
D) Polycose

Question 8

The peripheral parenteral nutrition bag that has been infusing into the patient is empty, and the nurse realizes that the next bag is not ready. The nurse should immediately hang which of these intravenous solutions 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 9

An elderly patient needs to take an enteral supplement to improve her overall nutritional status. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients?

A) Ensure Plus
B) Moducal
C) Propac
D) Microlipid

Question 10

A patient with a partial bowel obstruction will be given a 1-week course of enteral tube feeding via a nasogastric tube. Which formulation is appropriate for this patient?

A) Vivonex Plus, an elemental formulation
B) Osmolite, a polymeric formulation
C) Glucerna, a formulation for impaired glucose tolerance
D) Polycose, a modular formulation that contains carbohydrates

Question 11

When monitoring a patient who has been receiving peripheral parenteral nutrition for more than 3 weeks, the nurse will watch for which potential complication?

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

Question 12

The total parenteral nutrition (TPN) order reads, "Infuse TPN #2 over 24 hours." Bag #2 of TPN contains 1800 mL. At what rate will the nurse set the infusion pump?