Page 431 - Nutrition Essentials for Nursing Practice

C H A P T E R 1 5 Feeding Patients: Oral Diets and Enteral and Parenteral Nutrition 419

STUDY QUESTIONS

1. Which of the following strategies may help promote an adequate oral intake in hospi-
talized patients? Select all that apply.
a. Tell the patient that you wouldn’t want to eat the food either but that it is important
for the patient’s recovery.
b. Encourage the patient to select his or her own menu.
c. Offer standby alternatives when the patient cannot find anything on the menu he or
she wants to eat.
d. Advance the diet as quickly as possible, as appropriate.

2. For which of the following situations is a pureed diet most appropriate?
a. As an initial oral diet after surgery to establish tolerance
b. As a transition between a full liquid diet and a regular diet
c. For patients who need a low-fiber diet
d. For patients who have had their jaw wired

3. Which type of enteral formula would be most appropriate for a patient experiencing
malabsorption related to inflammatory bowel disease?
a. A standard intact formula
b. A fiber-enriched intact formula
c. A hydrolyzed formula for malabsorption
d. A patient with malabsorption cannot receive enteral nutrition

4. Which type of formula may normalize either constipation or diarrhea in tube-fed patients?
a. A fiber-enriched formula
b. An isotonic formula
c. A hydrolyzed formula
d. A standard, intact formula

5. Which tube-feeding delivery method is most likely to cause dumping syndrome?
a. Intermittent feedings
b. Bolus feedings infused into the stomach
c. Bolus feedings infused into the small intestine
d. Continuous drip feedings

6. Nausea in a tube-fed patient may be caused by which of the following? Select all that
apply.
a. Malplacement of the feeding tube
b. A feeding rate that is too rapid
c. Providing an excessive volume of formula
d. Feeding too soon after intubation
e. Anxiety
f. Using a formula that is low in residue

7. Which of the following are indications for using parenteral nutrition? Select all that apply.
a. Paralytic ileus
b. Intractable vomiting
c. Dysphagia
d. Coma

8. It is recommended that parenteral nutrition not be used when the patient is adequately
nourished and expected to resume oral intake within
a. 2 to 3 days
b. 5 to 7 days
c. 7 to 14 days
d. 14 to 21 days