Nutritional Supplements

Question 1

A nurse is developing a nutrition plan for a patient who is unable to ingest food orally. The HCP prescribes peripherally administered TPN for this patient. What is the maximum concentration of dextrose the nurse can administer for this patient?
a) 10%
b) 20%
c) 50%
d) 100%

Answer 1

a) 10%

Question 2

An elderly patient is placed on enteral supplementary diet. The dietician recommends ensure or sustacal. What are these supplements examples of?
a) elemental or monomeric solutions
b) blenderized solutions
c) polymeric, lactose free solutions
d) polymeric, milk based solutions

Answer 2

c) polymeric, lactose free solutions

Question 3

When monitoring a patient who is receiving TPN through a central line, what priority condition must the nurse continuously asses for? select all
a) pneumothorax
b) aspiration
c) hyperglycemia
d) infection
e) air embolus

Answer 3

a, c, d, e

Question 4

What health teaching should the nurse provide a patient regarding the most common AE of beginning enteral nutritional supplement therapy?
a) anorexia
b) constipation
c) diarrhea
d) flatulence

Answer 4

c) diarrhea

Question 5

When reviewing a patients need for nutritional supplementation, the nurse remembers that peripheral TPN is most appropriate for which patients?
a) patients who will receive short term TPN less than 2 weeks
b) patients who will receive long term -greater than 2 weeks
c) patients with severe nutritional problems
d) patients who wish to reduce their weight

Answer 5

a) patients who will receive short term TPN less than 2 weeks

Question 6

What is the priority nursing intervention for patients receiving enteral feedings?
a) warming feeding tube formulas above room temp
b) starting the infusions at the max rate ordered
c) keeping the head of the bed flat
d) giving feeding tube formulas that are at room temp

Answer 6

d) giving feeding tube formulas that are at room temp