Deck 58: Enteral and Parenteral Nutrition

Question 1

Which of the following measures would not improve the management of diarrhoea during enteral feeding?

A) Select a feed with a high fat content.
B) Decrease the rate of feed.
C) Remove the feed from the refrigerator about half an hour before administration.
D) Administer an iso-osmolar feed rather than a hyperosmolar feed.

Answer 1

Select a feed with a high fat content.

Question 2

Which of the following actions will NOT improve the management of regurgitation during enteral feeding?

A) Lower the head of the client's bed.
B) Avoid the use of hyperosmolar feeds.
C) Insert a fine-bore enteric tube.
D) Slow down the rate of infusion.

Answer 2

Lower the head of the client's bed.

Question 3

Which diagnostic tests should be performed regularly on a patient receiving parenteral nutrition? Select all that apply.

A) Electrolytes
B) Glucose
C) Creatinine
D) Cholesterol

Answer 3

Electrolytes
Glucose
Creatinine

Question 4

What finding must be present in order to proceed with enteral feedings?

A) Bowel sounds
B) Normal blood sugar
C) Normal faeces
D) Sufficient kidney function

Question 5

At what rate are enteral feeds usually commenced?

A) 100 mL per hour.
B) 30 mL per hour.
C) 10 mL per hour.
D) 60 mL per hour.

Question 6

Which complication would be least common with an enteral feed?

A) Electrolyte imbalance
B) Entry of feed into the lungs
C) Clogging of the tube
D) Intracranial penetration

Question 7

Which complication would be least common with an enteral feed?

A) Electrolyte imbalance
B) Entry of feed into the lungs
C) Clogging of the tube
D) Intracranial penetration

Question 8

Where would a PEG tube be placed?

A) The duodenum
B) The gastric area
C) The ileum
D) The jejunum

Question 9

A patient is receiving parenteral feedings.What could be the indication for such nutritional delivery?

A) Short-bowel syndrome
B) Carcinoma of the oesophagus
C) Organ failure
D) All of the above

Question 10

What finding must be present in order to proceed with enteral feedings?

A) Bowel sounds
B) Normal blood sugar
C) Normal faeces
D) Sufficient kidney function

Question 11

What is a suitable strategy to manage a large return of gastric aspirate in a person receiving nasogastric feeding?

A) Lower the head of the person's bed.
B) Use a hyperosmolar feed.
C) Select a feed with a higher fat content.
D) Decrease the rate of infusion.

Question 12

Which patient(s)might require enteral feeding? Select all that apply.

A) A patient with impaired consciousness
B) A patient with morbid obesity
C) A patient with severe burns
D) A patient with trauma to the face or jaw

Question 13

At what rate are enteral feeds usually commenced?

A) 100 mL per hour.
B) 30 mL per hour.
C) 10 mL per hour.
D) 60 mL per hour.

Question 14

Where would a PEG tube be placed?

A) The duodenum
B) The gastric area
C) The ileum
D) The jejunum

Question 15

Which of the following measures would not improve the management of diarrhoea during enteral feeding?

A) Select a feed with a high fat content.
B) Decrease the rate of feed.
C) Remove the feed from the refrigerator about half an hour before administration.
D) Administer an iso-osmolar feed rather than a hyperosmolar feed.

Question 16

What is a suitable strategy to manage a large return of gastric aspirate in a person receiving nasogastric feeding?

A) Lower the head of the person's bed.
B) Use a hyperosmolar feed.
C) Select a feed with a higher fat content.
D) Decrease the rate of infusion.

Question 17

Which of the following actions will NOT improve the management of regurgitation during enteral feeding?

A) Lower the head of the client's bed.
B) Avoid the use of hyperosmolar feeds.
C) Insert a fine-bore enteric tube.
D) Slow down the rate of infusion.

Question 18

A complication of bolus feeds compared to continuous infusion in individuals with a nasogastric tube is:

A) diarrhoea.
B) feed contamination.
C) ileus.
D) gastric bleeding.

Question 19

Components incorporated in central venous nutrition usually include:

A) 25-50% glucose, amino acids, electrolytes, vitamins and trace elements.
B) 5% or 10% glucose, thiamine, vitamin C and vitamin B complex.
C) 5% or 10% glucose and vitamin B complex.
D) 0.9% sodium chloride thiamine, vitamin C and vitamin B complex.

Question 20

A complication of bolus feeds compared to continuous infusion in individuals with a nasogastric tube is:

A) diarrhoea.
B) feed contamination.
C) ileus.
D) gastric bleeding.

Question 21

Total parenteral nutrition is a(n)________ solution that needs to be administered centrally.

A) nutrition
B) hypotonic
C) hypertonic
D) isotonic
E) iso-osmotic

Question 22

Parenteral solutions are usually prepared:

A) by the health facility kitchen staff.
B) onsite in the ward or clinical area.
C) ideally by the dietetics department.
D) under sterile conditions in the pharmacy.

Question 23

Which of the following is the most common complication of parenteral nutrition?

A) Pneumothorax
B) Subcutaneous emphysema
C) Cardiac perforation
D) Infection

Question 24

Which vein might be used for parenteral nutrition?

A) Subclavian
B) Antecubital
C) Basilic
D) Cephalic