Reference no: EM133316246
Questions
1. In which way can a diet-drug interaction alter nutrient excretion?
by acting as structural analogs
by increasing drug action to excessive levels
by causing diarrhea or vomiting
by damaging mucosal cells
2. What can happen when medications are infused along with enteral feedings?
The osmotic load can increase substantially and may contribute to diarrhea.
Fluid overload can occur due to the additional need for water flushes.
Risk of aspiration increases due to the need for additional water flushes.
The medication can reach toxic levels in the body more easily.
3. Most drugs are administered through which route?
orally
sublingually
transdermally
by injection
4. Homeopathic medicine and naturopathic medicine are examples of ____.
mind-body interventions
manual healing methods
alternative systems of medical practice
pharmacological treatments
5. Which tube feeding delivery method is done every 3 to 4 hours using a syringe?
continuous feedings
bolus feedings
sustainable feedings
cyclic feedings
6. Standard formulas are used for clients who ____.
require large amounts of kcalories
are able to digest and absorb nutrients
are severely malnourished
require intravenous feedings
7. Why are few medications added to parenteral solutions?
to avoid potential drug-nutrient interactions
to avoid clogging the tubing
because they are unnecessary if the solution is properly balanced
because it is not possible to do so
8. PPN is most often used in patients who require nutrition support for less than ____.
2 weeks
6 weeks
3 months
6 months
9. Mr. White has been prescribed corticosteroids. He should expect ____.
suppression of appetite
weight loss
reduced depression
increased appetite
10. Lora, age 57, is receiving chemotherapy and radiation for cancer and will soon have surgery. She is in need of oral supplementation to help improve her nutritional status prior to the surgery. What might be done to help her accept oral supplements?
Allow her to try several formulations to find one she likes.
Warn her that her surgery will have to be delayed if she does not accept them.
Give her a trial of tube feeding so she will prefer the oral supplements.
Acknowledge that they taste terrible but tell her they are better than the alternative.
11. The vast majority of patients use which type of enteral formula?
standard
hydrolyzed
specialized
modular
12. Standard formulas are also referred to as ____ formulas.
polymeric
MCT
elemental
modular
13. Why are the elderly more vulnerable to adverse effects from medications than other populations?
impaired function of the liver or kidneys
inability to afford multiple medications
the focus on older adults among clinical trials
susceptibility to acute infections
14. The protein in a TPN solution is primarily in the form of ____.
amino acids
protein hydrolysate
short-chain fatty acids
intact protein
15. PPN solutions are limited in their osmolarity and TPN solutions ____.
can be as nutrient dense as necessary
may be deficient in other components
are required to be of a certain osmolarity
are also limited in their osmolarity
16. Maureen Grey is a 75-year-old nursing home patient. She has been getting her nutrition via tube feeding for over three years. She is admitted to Good Valley Hospital with a diagnosis of dehydration with weight loss (8 lbs.) in one month. What may have caused Maureen to become dehydrated?
dysphagia
food allergy
tube feeding rate
diarrhea
17. Elemental formulas are also called ____ formulas.
polymeric
specialty
hydrolyzed
disease-specific
18. Caution should be taken when administering parenteral lipids to people with which condition?
hypertriglyceridemia
hyperglycemia
diabetes
kidney failure
19. The large-diameter central veins are located near the ____.
extremities
heart
liver
lungs
20. Greg Thomas is a 12-year-old who is being weaned off of TPN. In addition to TPN, Greg is on a soft diet. Greg is 5'2" and weighs 110 pounds. His energy needs are estimated to be approximately 2100 kcal/day. His calorie count reveals he is consuming 1700 kcal/day. Which intervention is appropriate at this time?
Discontinue TPN.
Double his oral feedings.
Consider enteral feedings.
Increase TPN to provide an additional 1100 kcal.