Deck 55: Pharmaconutrition

Question 1

A patient is receiving an enteral tube feeding at 100 mL/hour.When the nurse checks the residual,70 mL is obtained.Which action by the nurse is appropriate?

A)Slowing the rate to 50 mL/hour
B)Returning the aspirate and continuing the feeding as ordered
C)Returning the aspirate, stopping the feeding, and contacting the physician
D)Discarding the aspirate,stopping the feeding,and contacting the physician

Answer 1

Returning the aspirate, stopping the feeding, and contacting the physician

Question 2

A patient's peripheral parenteral nutrition bag has run dry before the physician ordered a new bag.The best action by the nurse is to hang which of the following 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

Answer 2

10% dextrose in water

Question 3

What is a possible complication of long-term administration of peripheral total parenteral nutrition (TPN)?

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

Answer 3

Phlebitis

Question 4

To ensure patient safety,how often should the nurse assess the total parenteral nutrition (TPN)infusion?

A)Every 15 minutes
B)Every 30 minutes
C)Every 60 minutes
D)Every 2 hours

Question 5

During the night shift,a patient's total parenteral nutrition (TPN)infusion finished,but no TPN solution is on hand.The nurse is aware that which of the following may occur if the TPN infusion is discontinued abruptly?

A)Fluid overload
B)Hyperglycemia
C)Dumping syndrome
D)Rebound hypoglycemia

Question 6

An older adult patient needs to take an enteral supplement to improve her overall nutritional status.Which of the following formulations provides complex nutrients?

A)Ensure
B)Moducal
C)ProMod
D)Microlipid

Question 7

Which of the following is a potential adverse effect of total parenteral nutrition (TPN)?

A)Anorexia
B)Headache
C)Fluid overload
D)Diarrhea

Question 8

A patient has been receiving total parenteral nutrition (TPN).Upon assessment,the nurse notes that his blood pressure is elevated,his pulse is weak and elevated,he seems confused,and he has new pitting edema around his ankles.Which of the following does the nurse suspect?

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

Question 9

A female patient has been receiving both radiation and chemotherapy for her cancer.She has developed anorexia caused by the treatments and needs nutritional supplementation.The nurse knows that the physician will likely initiate which therapy?

A)Central total parenteral nutrition (TPN)
B)Peripheral TPN
C)Oral nutritional supplementation
D)Nasogastric enteral supplementation

Question 10

Which of the following is the most common adverse effect from nutritional supplements?

A)Diarrhea
B)Constipation
C)Fluid overload
D)Peptic ulcer disease