NUR 242 Ch 60 Nutrition & Feeding | 100+ Q&A | BMI, Tube Types, Refeeding Syndrome, TPN, Vitamins, Malnutrition

This expert-verified study guide provides over 100 comprehensive questions and answers based on Chapter 60 of the 2026 NUR 242 curriculum, focusing on nutrition, enteral and parenteral feeding, and metabolic complications. Closely aligned with Ignatavicius & Workman: Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, the content is structured to enhance clinical judgment and safety in nutritional care planning. Key coverage includes: BMI & weight classification: definitions for overweight, obesity, and morbid obesity, and normal BMI ranges (18.5–25), along with gender-specific waist circumference values. Micronutrient deficiencies: signs and symptoms of low vitamin A, B12, C, zinc, riboflavin, and niacin, including corkscrew hair, magenta tongue, alopecia, cheilosis, and keratomalacia. Malnutrition types: marasmus, kwashiorkor, and marasmic-kwashiorkor, with focus on fat/protein wasting, low serum proteins, and metabolic stress triggers. Lab indicators: low prealbumin, cholesterol, H&H, and total lymphocyte count (TLC); high serum albumin with dehydration; interpretation of nutritional lab values. Refeeding syndrome: early warning signs such as seizures, shallow respiration, and confusion, and patient risk profiles during nutritional reintroduction. Enteral nutrition (TEN): comparison of nasoenteric (NG/NDT) and enterostomal (gastrostomy/jejunostomy) tubes, including feeding schedules (bolus vs. continuous) and assessment protocols like GI pH testing and capnometry for placement verification. Parenteral nutrition (TPN/PPN): appropriate candidates, administration routes (PICC, subclavian, jugular), signs of circulatory overload (e.g., edema, dyspnea, bounding pulse). Appetite regulation: functions of orexins (ghrelin) and anorexins (leptin, insulin) Weight loss management: pharmacologic agents like orlistat, lorcaserin, and phentermine-topiramate, along with bariatric surgical interventions (restrictive vs. malabsorptive procedures) This resource is ideal for: ADN/BSN nursing students LPN-to-RN bridge programs Learners preparing for NCLEX-RN, ATI, HESI, or nutrition-focused exams Courses in Medical-Surgical Nursing, Nutrition, Pathophysiology, or Adult Health Designed in a rapid Q&A format, this guide enhances recall, strengthens exam readiness, and supports real-world clinical application in patient nutrition and feeding management. Keywords: BMI ranges, marasmus, kwashiorkor, malnutrition types, refeeding syndrome, enteral feeding tubes, gastrostomy, jejunostomy, NG tube, capnometry, TPN, PPN, fluid overload, vitamin A C B12 deficiency, zinc deficiency, anorexins, orexins, nutrition assessment, prealbumin, cholesterol levels, orlistat, lorcaserin, gastric bypass, NUR 242, NCLEX nutrition prep