Deck 22: Surgery and Nutrition Support

Question 1

Immediately following a gastrectomy.initial postoperative nutrition feedings are met by

A) small, frequent oral feedings.
B) jejunostomy feedings.
C) total parenteral nutrition.
D) an oral full liquid diet.

Answer 1

B
Immediately following a gastrectomy.postoperative feedings usually are provided through a jejunostomy tube that provides elemental feedings.

Question 2

Advancing the carbohydrate load too quickly in total parenteral nutrition may result in

A) hyperglycemia.
B) hypoglycemia.
C) fluid overload.
D) anemia.

Answer 2

A
Advancing the carbohydrate load too quickly when administering total parenteral nutrition can result in hyperglycemia.

Question 3

Mr.B needs to have his gall bladder removed.His appetite has been poor.and he has lost 20 lb in the past 4 months.Before surgery he should

A) focus on fruit, vegetables, and organic foods.
B) allow his appetite to dictate his food choices.
C) increase his intake of energy, protein, vitamins, and minerals.
D) maintain a lower energy intake to reduce stress on his body.

Answer 3

C
Mr.B's weight loss indicates that he has decreased his nutrient stores.This could impair his ability to heal after surgery.Prior to surgery.he should try to increase his intake of energy.protein.vitamins.and minerals to boost his nutrient stores.For example.he could eat six small meals each day.

Question 4

After a cholecystectomy.an example of a food item that may need to be decreased is

A) fried chicken.
B) applesauce.
C) white bread.
D) sherbet.

Question 5

For a patient who can take an oral diet.a food that would be a good source of energy during the postoperative period would be

A) lean steak.
B) breakfast cereal.
C) carrots.
D) fried potatoes.

Question 6

Commercial enteral feeding formulas are preferred to blenderized food because they

A) have a thinner consistency.
B) carry less risk of infection.
C) are better tolerated.
D) are less expensive.

Question 7

Two minerals that are lost during tissue catabolism are

A) sodium and chloride.
B) calcium and magnesium.
C) iron and zinc.
D) potassium and phosphorus.

Question 8

The food item most likely to lead to dumping syndrome is

A) lean meat.
B) butter.
C) chocolate pudding.
D) whole-wheat toast.

Question 9

The most common nutritional deficiency among surgical patients is a deficiency of

A) vitamin C.
B) iron.
C) protein.
D) essential fatty acids.

Question 10

Patients who have had radical surgery of the head.neck.or throat may require

A) a clear liquid diet.
B) a full liquid diet.
C) tube feedings.
D) a low-residue diet.

Question 11

Fluid loss due to vomiting.fever.or excessive urination is accompanied by loss of the electrolytes

A) sodium and chloride.
B) calcium and magnesium.
C) iron and zinc.
D) potassium and phosphorus.

Question 12

Ms.Jones has recently had gastric surgery; 45 minutes after eating her regular diet she feels cramping and full with waves of weakness and dizziness.Ms.Jones is most likely experiencing

A) a heart attack.
B) a gallbladder attack.
C) a pulmonary embolus.
D) dumping syndrome.

Question 13

A good source of vitamin C.important during the healing process.is

A) whole-wheat crackers.
B) broccoli.
C) vanilla pudding.
D) pretzels.

Question 14

Protein is especially needed in the postoperative recovery period for

A) energy.
B) control of edema.
C) control of hypertension.
D) optimal kidney function.

Question 15

If a patient requires parenteral nutrition for a prolonged period.the most appropriate type of feeding is

A) elemental enteral formula.
B) intact enteral formula.
C) total parenteral nutrition.
D) peripheral parenteral nutrition.

Question 16

Before general surgery.nothing is given by mouth for at least

A) 4 hours.
B) 8 hours.
C) 12 hours.
D) 24 hours.

Question 17

Once placed on an oral diet following a gastrectomy.an appropriate meal would consist of

A) milk and applesauce.
B) sweet tea and cookies.
C) a scrambled egg and toast.
D) a plain hamburger and fries.

Question 18

Blood losses may result in a deficiency of

A) calcium.
B) glucose.
C) iron.
D) vitamin C.

Question 19

An example of a food item that is usually not part of a regular oral diet is

A) steamed broccoli.
B) braised chicken.
C) a baked potato.
D) puréed carrots.

Question 20

Physiologic symptoms of dumping syndrome result from

A) the intestinal contents being absorbed too quickly.
B) the ingested food remaining in the stomach too long.
C) the stomach emptying too quickly into the intestine.
D) water being drawn from the blood into the intestine and decreasing the blood volume.

Question 21

A food item that would be an appropriate part of a full liquid diet is

A) pureed chicken.
B) mashed potatoes.
C) chocolate ice cream.
D) scrambled eggs.

Question 22

Patients who are treated with antibiotics may have decreased synthesis of

A) vitamin K.
B) vitamin C.
C) zinc.
D) iron.

Question 23

An appropriate tube feeding route for a patient at high risk for aspiration is

A) nasogastric.
B) jejunostomy.
C) gastrostomy.
D) esophagostomy.

Question 24

An intravenous solution that is immediately given to a burn patient to prevent hypovolemia is

A) lactated Ringer's solution.
B) 5% dextrose.
C) normal saline.
D) total parenteral nutrition.

Question 25

The surgery in which the colon is attached to an opening in the abdominal wall is known as

A) a cholecystectomy.
B) an ileostomy.
C) a colostomy.
D) a jejunostomy.

Question 26

During the initial stage of treatment of a severe burn

A) an intravenous dextrose feeding is started.
B) total parenteral nutrition is initiated.
C) the patient is encouraged to take water orally.
D) an intravenous electrolyte solution is given.

Question 27

If a patient has increased protein and zinc needs to promote wound healing.a good meal choice would be

A) beef and bean stew.
B) squash soup with sour cream.
C) stir-fried vegetables and rice.
D) citrus fruit salad and yogurt.

Question 28

A burn that causes cell damage in both the top layer of skin and some of the dermis is a _____ burn.

A) superficial
B) superficial partial-thickness
C) deep partial-thickness
D) full-thickness

Question 29

Total parenteral nutrition formulas provide protein in the form of

A) peptides.
B) protein isolates.
C) amino acids.
D) dextrose.

Question 30

If the intestinal drainage from an ostomy site is still liquid.the patient has

A) a gastrectomy.
B) an ileostomy.
C) a colostomy.
D) an intestinal bypass.