Exam 3 prep- Lutz's nutrition and diet
therapy 8th edition UPDATED ACTUAL
Exam Questions and CORRECT Answers
A nurse is caring for a client who has developed irritation to his feeding tube in the past. Which
of the following actions should the nurse take to prevent this from occurring?
-Flush the tube.
-Lubricate the tube before insertion.
-Use an infusion pump.
-Elevate the client's bed. - CORRECT ANSWER - -Lubricate the tube before insertion.
A nurse is caring for a client receiving tube feedings and medication. Which action should the
nurse take to appropriately administer the medication?
-Add the medication directly to the feeding formula.
-Give medication in capsule form.
-Crush tablets and mix with sterile water.
-Give all medications at once. - CORRECT ANSWER - -Crush tablets and mix with
sterile water.
A nurse is educating parents of a pediatric client who will need to receive bolus feedings at
home. The client will be fed through an open system. Which will the nurse share with the
parents?
-The feeding formula will be prepackaged, so all you will need to do is hang the bag.
-You will fill a bag with liquid formula for each feeding.
-You will not be able to add additional fiber to your child's feedings.
-You will not be able to use commercially prepared products. - CORRECT ANSWER --
You will fill a bag with liquid formula for each feeding.
,A client has been hospitalized for several weeks. During this time, the client's nurses are careful
to record the client's weight, monitor the client's stool frequency, and document the client's food
intake. The nurses are likely trying to combat which of the following?
-Hyperglycemia
-Hypernatremia
-Overfeeding
-Iatrogenic malnutrition - CORRECT ANSWER - -Iatrogenic malnutrition
Which of the following strategies can a nurse take to help prevent hyperglycemia in a client
receiving tube feedings?
-Select a low-carbohydrate formula.
-Provide adequate fluids.
-Monitor serum levels.
-Reduce potassium intake. - CORRECT ANSWER - -Select a low-carbohydrate formula.
Which of the following refers to feeding a client via a vein away from the center of the body?
-Enteral nutrition (EN)
-Peripheral parenteral nutrition (PPN)
-Central parenteral nutrition (CPN)
-Peripherally inserted central catheter (PICC line) - CORRECT ANSWER - -Peripheral
parenteral nutrition (PPN)
A nurse is educating a client on parenteral nutrition. The nurse notes that parenteral nutrition is
maintained at a constant rate in an adult client to avoid:
-Metabolic disturbances.
-Hypoglycemia rebound.
-Hypolipidemia.
-Rapid increase of nutrient concentrations in the serum. - CORRECT ANSWER --
Metabolic disturbances.
, A client is receiving nutrition through a feeding tube. Which type of enteral feeding formula
would likely be used if the client needs to receive all essential nutrients in a specific volume?
-Modular formula
-Polymeric formula
-Elemental formula
-Disease-specific formula - CORRECT ANSWER - -Polymeric formula
A client presents to the emergency department with throat inflammation, nausea, and mouth
sores. A nurse expects that the health-care provider will order which of the following?
-Peripheral parenteral nutrition
-Central parenteral nutrition
-Feeding tube
-PICC line - CORRECT ANSWER - -Feeding tube
Which of the following strategies can a nurse take to help prevent hypernatremia in a client
receiving bolus feedings?
-Monitor serum levels.
-Provide adequate fluids.
-Reduce potassium intake.
-Select a low-carbohydrate, high-fat formula. - CORRECT ANSWER - Provide adequate
fluids.
Which should occur weekly in a client who receives parenteral nutrition?
-Liver function test
-Serum electrolytes
-Complete blood count
-Fluid intake and output measurement - CORRECT ANSWER - -Complete blood count
A nurse is caring for a client receiving bolus feedings. During feeding, the client complains of
cramping and bloating. Which actions should the nurse take? Select all that apply.
therapy 8th edition UPDATED ACTUAL
Exam Questions and CORRECT Answers
A nurse is caring for a client who has developed irritation to his feeding tube in the past. Which
of the following actions should the nurse take to prevent this from occurring?
-Flush the tube.
-Lubricate the tube before insertion.
-Use an infusion pump.
-Elevate the client's bed. - CORRECT ANSWER - -Lubricate the tube before insertion.
A nurse is caring for a client receiving tube feedings and medication. Which action should the
nurse take to appropriately administer the medication?
-Add the medication directly to the feeding formula.
-Give medication in capsule form.
-Crush tablets and mix with sterile water.
-Give all medications at once. - CORRECT ANSWER - -Crush tablets and mix with
sterile water.
A nurse is educating parents of a pediatric client who will need to receive bolus feedings at
home. The client will be fed through an open system. Which will the nurse share with the
parents?
-The feeding formula will be prepackaged, so all you will need to do is hang the bag.
-You will fill a bag with liquid formula for each feeding.
-You will not be able to add additional fiber to your child's feedings.
-You will not be able to use commercially prepared products. - CORRECT ANSWER --
You will fill a bag with liquid formula for each feeding.
,A client has been hospitalized for several weeks. During this time, the client's nurses are careful
to record the client's weight, monitor the client's stool frequency, and document the client's food
intake. The nurses are likely trying to combat which of the following?
-Hyperglycemia
-Hypernatremia
-Overfeeding
-Iatrogenic malnutrition - CORRECT ANSWER - -Iatrogenic malnutrition
Which of the following strategies can a nurse take to help prevent hyperglycemia in a client
receiving tube feedings?
-Select a low-carbohydrate formula.
-Provide adequate fluids.
-Monitor serum levels.
-Reduce potassium intake. - CORRECT ANSWER - -Select a low-carbohydrate formula.
Which of the following refers to feeding a client via a vein away from the center of the body?
-Enteral nutrition (EN)
-Peripheral parenteral nutrition (PPN)
-Central parenteral nutrition (CPN)
-Peripherally inserted central catheter (PICC line) - CORRECT ANSWER - -Peripheral
parenteral nutrition (PPN)
A nurse is educating a client on parenteral nutrition. The nurse notes that parenteral nutrition is
maintained at a constant rate in an adult client to avoid:
-Metabolic disturbances.
-Hypoglycemia rebound.
-Hypolipidemia.
-Rapid increase of nutrient concentrations in the serum. - CORRECT ANSWER --
Metabolic disturbances.
, A client is receiving nutrition through a feeding tube. Which type of enteral feeding formula
would likely be used if the client needs to receive all essential nutrients in a specific volume?
-Modular formula
-Polymeric formula
-Elemental formula
-Disease-specific formula - CORRECT ANSWER - -Polymeric formula
A client presents to the emergency department with throat inflammation, nausea, and mouth
sores. A nurse expects that the health-care provider will order which of the following?
-Peripheral parenteral nutrition
-Central parenteral nutrition
-Feeding tube
-PICC line - CORRECT ANSWER - -Feeding tube
Which of the following strategies can a nurse take to help prevent hypernatremia in a client
receiving bolus feedings?
-Monitor serum levels.
-Provide adequate fluids.
-Reduce potassium intake.
-Select a low-carbohydrate, high-fat formula. - CORRECT ANSWER - Provide adequate
fluids.
Which should occur weekly in a client who receives parenteral nutrition?
-Liver function test
-Serum electrolytes
-Complete blood count
-Fluid intake and output measurement - CORRECT ANSWER - -Complete blood count
A nurse is caring for a client receiving bolus feedings. During feeding, the client complains of
cramping and bloating. Which actions should the nurse take? Select all that apply.
