Chapter 55: Nutritional Supplements
Chapter 55: Nutritional Supplements MULTIPLE CHOICE 1. A patient is receiving a nutritional supplement via an enteral feeding tube. The nurse will
monitor for which common adverse effect? a. Diarrhea b. Constipation c. Fluid overload d. Heartburn ANS: A
Diarrhea is the most common result of the gastrointestinal intolerance that occurs with nutritional supplementation. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 2. An older adult patient needs to receive an enteral supplement to improve her overall nutritional
status. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients? a. Ensure Plus b. Moducal c. Propac d. Microlipid ANS: A
Ensure Plus is a polymeric formulation that contains complex nutrients, including proteins, carbohydrates, and fats. Moducal provides carbohydrates only; Propac is a protein formulation, and Microlipid supplies only fats (see Box 55-1). DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has
developed anorexia caused by the treatments, so she needs short-term nutrition supplementation. The nurse anticipates that the physician will initiate which therapy? a. Central total parenteral nutrition b. Peripheral parenteral nutrition c. Oral nutritional supplements with meals d. Nasogastric enteral supplementation ANS: B
Peripheral parenteral nutrition is indicated for anorexia caused by radiation or cancer chemotherapy. Total parenteral nutrition is indicated for more long-term use. The other options are incorrect.
299
