Nutrition > QUESTIONS & ANSWERS > Parenteral and Enteral Nutrition Practice Questions for Exam, Questions and answers. 2022/2023, 100% (All)

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Parenteral and Enteral Nutrition Practice Questions for Exam, Questions and answers. 2022/2023, 100% verified.

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Parenteral and Enteral Nutrition Practice Questions for Exam, Questions and answers. 2022/2023, 100% verified. Identify if the following patients should receive PARENTERAL nutrition. (*Select all... that apply*) *A.* A previously healthy patient with dysphagia after a stroke who is expected to be eating regular foods in four days. *B.* A patient with dysphagia from Parkinson's disease and the dysphagia is not expected to resolve. *C.* Pregnant patient with hyperemesis gravidum expected to resolve in 3-4 days. *D.* Patient with colorectal cancer and a small bowel obstruction. *E.* Premature neonate born at 24 weeks. *F.* A patient who specified "no artificial feeding" to her medical power of attorney. - ✔✔*D.* Patient with colorectal cancer and a small bowel obstruction. *E.* Premature neonate born at 24 weeks. A national shortage of intravenous lipids occurs. AB is switched to a 2-in-1 TPN formulation and will now receive lipids three times a week as a separate infusion. Select the correct statement comparing to a 2-in-1 instead of 3-in-1 TPN bag. A 2-in-1 TPN compared to a 3-in-1 TPN will result in DECREASED: *A.* Vein irritation from the TPN *B.* Nursing time to administer TPN *C.* Risk of catheter occlusion *D.* Medication compatibilities - ✔✔*C.* Risk of catheter occlusion Two weeks after starting TPN, AB has increasing LFTs. Her doctors notes gallstones on an abdominal ultrasound. Select the BEST recommendation to address this complication: *A.* Change to a cycled infusion *B.* Increase the infusion rate *C.* Decrease the total kilocalories *D.* Start enteral feeds at a low rate - ✔✔*D.* Start enteral feeds at a low rate Which of the following monitoring parameters for patient newly starting PN is CORRECT? (*Select ALL that apply.*) *A.* Weights should be checked daily. *B.* In's and out's should be checked daily. *C.* Prealbumin should be checked weekly. *D.* Blood sugars only need to be checked if the patient is diabetic. *E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a regular diet. *F.* LFTs should be checked 2-3 times per week. - ✔✔*A.* Weights should be checked daily. *B.* In's and out's should be checked daily. *E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a regular diet. *F.* LFTs should be checked 2-3 times per week. AB is on Day 3 of TPN. After one week, she should have her protein in his nutrition care plan DECREASED if: *A.* Her BUN increases *B.* She has a +3.3 nitrogen balance *C.* Her prealbumin is increasing *D.* Her albumin is staying the same - ✔✔*A.* Her BUN increases Calcium gluconate...4.7mEq=1g...20mEq/day Magnesium sulfate...8.12mEq=1g...10mEq/day Potassium acetate......20mEq/day Potassium chloride......30mEq/day Potassium phosphate......20mM/day Sodium chloride......70mEq/day How much potassium is contained in this formula? *A.* 50 mEq *B.* 64 mEq *C.* 70 mEq *D.* 79 mEq - ✔✔*D.* 79 mEq (Slide 40) (20 mMol/x mEq) = (3 mMol/4.4 mEq) = 29.33 20+30+29.33 = 79.33 mEq Amino Acid......90 g/day Dextrose...... 300 g/day Lipids 20%......40 g/day How many kcal does this formulation contain? [Show More]

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