Deck 63: Enteral and Parenteral Nutrition

Question 1

Prior to administering a hypertonic total parenteral nutrition solution, the nurse verifies that the client has:
1)A central venous access device.
2)An insulin coverage scale.
3)Serum electrolyte imbalances.
4)Robust peripheral veins.

Answer 1

1

Question 2

The nurse anticipates that the plan for a client with insufficient weight gain will include:
1)Increasing the delivery rate of the enteral formula.
2)Providing free water to dilute a hypertonic formula.
3)Decreasing the protein content of the formula.
4)Change to a bolus feeding schedule.

Answer 2

1

Question 3

The nurse knows that a fat emulsion is added to a parenteral nutrition solution to decrease:
1)Triglyceride levels.
2)Glucose levels.
3)Amino acid levels.
4)Albumin levels.

Answer 3

2

Question 4

A nurse is preparing to administer medications to a client receiving enteral nutrition.Which of the following medications should not be administered via a PEG tube?
1)An elixir for oral administration
2)A suspension for oral administration
3)An enteric-coated pill for oral administration
4)A reconstituted powder for oral administration

Question 5

To decrease the risk of infection associated with the introduction of bacteria from the TPN solution, the nurse will:
1)Assess temperature daily.
2)Use a 0.22 micron inline filter.
3)Inspect the IV insertion site for redness.
4)Change the dressing every three days

Question 6

The nurse knows that parenteral nutrition will be used to meet the nutritional needs of a client:
1)With HIV-AIDS.
2)Receiving radiation therapy to the neck.
3)In a comatose state.
4)With a non-functioning GI tract.

Question 7

A nurse is providing information about nutritional support to a client, and explains that to benefit from enteral nutrition:
1)Specialized nutrient formulas cannot be needed.
2)It must be administered as a continuous infusion.
3)The GI tract must be functional.
4)The gag and swallow reflexes must be intact.

Question 8

The nurse knows that amino acids, a component of total parenteral nutrition, are needed by the body to: (Select all that apply.)
1)Serve as a primary source of calories.
2)Promote production of proteins.
3)Act as metabolic cofactors for enzymes.
4)Conserve lean body mass.
5)Promote wound healing.

Question 9

In a client receiving enteral nutrition, which intervention is the nurse most likely to implement to reduce risk of aspiration?
1)Add fiber to the formula.
2)Elevate the head of bed to 30 degrees.
3)Administer an anti-diarrheal agent.
4)Administer the formula at room temperature.

Question 10

A client receiving parenteral nutrition has an increased pulse, and pale, cool, clammy skin.Which of the following interventions will the nurse perform?
1)Stop the parenteral nutrition infusion.
2)Check blood glucose levels.
3)Increase the parenteral nutrition infusion rate.
4)Administer insulin coverage.

Question 11

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):
1)Pneumothorax.
2)Infection.
3)Air embolism.
4)Fluid overload.

Question 12

To evaluate stabilization of the nutritional status in a client receiving enteral nutrition, the nurse will:
1)Monitor daily weights.
2)Monitor vital signs.
3)Assess oral intake.
4)Measure abdominal girth.

Question 13

A nurse is caring for a client receiving parenteral nutrition therapy.In a stable patient, which of the following laboratory values will be monitored daily by the nurse?
1)BUN
2)Electrolytes
3)Glucose
4)Triglycerides

Question 14

A nurse is caring for a client who is prescribed phenytoin (Dilantin).To most effectively administer this agent, the nurse will:
1)Check the client's phenytoin (Dilantin)level before administering the dose.
2)Dilute the liquid form of phenytoin (Dilantin)with 100 cc of water.
3)Hold the enteral feeding two hours before and two hours after giving phenytoin
(Dilantin).
4)Request an alternate form and route to administer the phenytoin (Dilantin).