INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION SOLE TEST BANK
Chapter 06: Nutritional Support Sole: Introduction to Critical Care Nursing, 7th Edition MULTIPLE CHOICE 1. A patient is having complications from abdominal surgery and remains NPO. Because enteral
tube feedings are not possible, the decision is to initiate parenteral feedings. What are the major complications for this therapy? a. Aspiration pneumonia and sepsis b. Sepsis and fluid and electrolyte imbalances c. Fluid overload and pulmonary edema d. Hypoglycemia and renal insufficiency ANS: B
Because of the high dextrose concentration, including the fluid and electrolyte content, the patient is placed at high risk for sepsis and fluid and electrolyte imbalances. Aspiration pneumonia is a potential complication of enteral feedings; sepsis is a potential complication of parenteral nutrition. Fluid overload is possible but unlikely and is not a major complication of parenteral nutrition. Hyperglycemia is more of a concern than hypoglycemia with parenteral nutrition; however, renal insufficiency is not related to parenteral nutrition. DIF: Cognitive Level: Remember/Knowledge REF: p. 85 OBJ: Describe strategies for monitoring and evaluating the nutrition care plan. TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity NURSINGTB.COM
2. A patient is being ventilated and has been started on enteral feedings with a nasogastric
small-bore feeding tube. What is the primary reason the nurse must frequently assess tube placement? a. To assess for paralytic ileus b. To maintain the patency of the feeding tube c. To monitor for skin breakdown on the nose d. To prevent aspiration of the feedings ANS: D
Patients who are on a ventilator and who are receiving tube feedings are at a high risk for aspiration and ventilator-associated pneumonia. Assessment of tube placement will neither determine presence of paralytic ileus nor maintain patency. Assessment of tube placement is performed to minimize aspiration risk, not skin breakdown on the nose. DIF: Cognitive Level: Remember/Knowledge REF: p. 85 | Table 6-4 OBJ: Describe strategies for monitoring and evaluating the nutrition care plan. TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 3. The patient is to start parenteral nutrition. The nurse knows to prepare which site for catheter
insertion? a. Basilic vein b. Femoral vein c. Radial artery
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