NR 228 Final Exam Study Guide

1. The nurse is caring for a post liver transplant client? What nutritional considerations would there be for the client? -Total parenteral nutrition or tube feeding may be necessary -Nutrition is not a concern because the client is overweight -Fats and carbohydrates are not a concern long term after transplant -A dietary consult would not be necessary for the client 2. The nurse is caring for a client who has been in a 2nd story fall with multiple broken bones and head trauma. The client is on enteral feeding at 50ml/hr and a water bolus of 100ml every 4hrs. What nursing interventions would be appropriate for this client? Select all that apply -Head of bed elevated 45 degrees - turn client on life side -monitor intake and output -give additional water bolus as needed -check gastric residual -blood glucose monitoring 3. The nutritionist asks the new oncology nurse what is the increase in percentage of energy/ nutrients needed when a patient has an infection? -Greater than 20% -15-20% -5-10% -10-15% 4. The GI tract not only is responsible for digestion and absorption of nutrients it also does the following: Select all that apply. -Can go weeks without food - replaces electrolytes to the body -prevents bacterial imbalance -starts shutting down to stress