TEST BANK INTRODUCTION TO CRITICAL CARE NURSING 7TH
EDITION QUESTIONS AND CORRECT DETAILED ANSWERS - JUST
RELEASED, 100 % Verified
Ans:
1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO.Becauseenteraltubefee
dingsarenotpossiblethedecisionistoinitiateparenteralfeedings.Whatarethemajorcomplicationsfo
rthistherapy
Ans: b. Fluidandelectrolyteimbalancesandsepsis
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanasogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubeplacement?
Ans: d. Topreventaspirationofthefeedings
3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsiteforcatheterinsertio
n?
Ans: d. Subclavianvein
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingaswallowstudy,thepati
entisplacedonenteralfeedings.Followingplacementofanasogastrictubefortubefeeding,whatisthe
nextcriticalstep?
,Ans: c. Obtainachestradiograph.
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcontinuousflowtubef
eeding.Thenurseknowsthatthisapproachwaschosenbecause:
Ans: c. theintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwaves
6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenursewouldcarryoutwhic
hinterventiontominimizeaspirationrisk?
Ans: Elevatetheheadofthebed30degrees.
7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mLofmilkygreenfluid.Thi
sisaconcernbecausethismostlikelydemonstratesthatthepatienthas:
Ans: d. tube feeding intolerance.
8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygreenliquid.Thenursehold
sthetubefeeding,whichhadbeeninfusingat100mL/hr.Thenurseknowsthatthenextactionshouldbe:
Ans: d. recheck the residual in 2hours
9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingintolerance?
Ans: a. Abdominal distention
10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextremediarrhea.Astoolspec
imeniscollectedtocheckforwhichpossiblecause?
Ans: a. Clostridium difficile
,11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestudentnurselistedpossible
interventionsforthispatient.Whichinterventionneedscorrectionbeforefinalizingtheplanofcare?
Ans: b. Infuseantibioticsthroughtheintravenousline.
12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodtestasthemostsensitiveind
icatorofproteinsynthesisandcatabolism?
Ans: c. Prealbumin
13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingdrug-
nutrientreactions?
Ans: d. Phenytoin
14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)tract?
Ans: d. Without nutritional stimulation, mucosal villi atrophy.
15.An important nutritional consideration in the elderly population is:
Ans: c. potential for drug-nutrient interaction related to polypharmacy.
16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclude:
Ans: d. weight loss, elevated glucose, and dehydration
17.In trauma patients ,enteral nutrition via nasogastric tube feedings into the small bowel is
best initiated within what time frame following the injury?
Ans: a. 24hours
, 18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiaisinthecriticalcareunitonave
ntilator.Thenutritionassessmentnotesthatthepatienthasaproteinandvitamindeficiencyandisund
erweight.Whichformulafornutritionalassessmentismostappropriate?
Ans: b. Fiber-addedformula
19.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferredsourceofnutritionalther
apy
Ans: d. Gut mucosa is preserved.
20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofprotein?
Ans: b. The patient with ileitis
21.Thebestnursingapproachtopreventfeedingtubeobstructionis:
Ans: b. flushthetubeevery4hourswith20to30mLoftapwater.
22.Patientsexperiencingseverephysiologicalstressincreasetheirnutritionalrequirementsto:
Ans: c. 35kcal/kg/day
23.Malnutritioncontributestoinfectionriskby
Ans: b. impairing immune function
24.Apatient,whohasatubefeeding,requiresachestx-
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenurse:
Ans: d. stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograph.
1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Selectallthatapply.)
EDITION QUESTIONS AND CORRECT DETAILED ANSWERS - JUST
RELEASED, 100 % Verified
Ans:
1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO.Becauseenteraltubefee
dingsarenotpossiblethedecisionistoinitiateparenteralfeedings.Whatarethemajorcomplicationsfo
rthistherapy
Ans: b. Fluidandelectrolyteimbalancesandsepsis
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanasogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubeplacement?
Ans: d. Topreventaspirationofthefeedings
3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsiteforcatheterinsertio
n?
Ans: d. Subclavianvein
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingaswallowstudy,thepati
entisplacedonenteralfeedings.Followingplacementofanasogastrictubefortubefeeding,whatisthe
nextcriticalstep?
,Ans: c. Obtainachestradiograph.
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcontinuousflowtubef
eeding.Thenurseknowsthatthisapproachwaschosenbecause:
Ans: c. theintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwaves
6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenursewouldcarryoutwhic
hinterventiontominimizeaspirationrisk?
Ans: Elevatetheheadofthebed30degrees.
7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mLofmilkygreenfluid.Thi
sisaconcernbecausethismostlikelydemonstratesthatthepatienthas:
Ans: d. tube feeding intolerance.
8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygreenliquid.Thenursehold
sthetubefeeding,whichhadbeeninfusingat100mL/hr.Thenurseknowsthatthenextactionshouldbe:
Ans: d. recheck the residual in 2hours
9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingintolerance?
Ans: a. Abdominal distention
10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextremediarrhea.Astoolspec
imeniscollectedtocheckforwhichpossiblecause?
Ans: a. Clostridium difficile
,11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestudentnurselistedpossible
interventionsforthispatient.Whichinterventionneedscorrectionbeforefinalizingtheplanofcare?
Ans: b. Infuseantibioticsthroughtheintravenousline.
12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodtestasthemostsensitiveind
icatorofproteinsynthesisandcatabolism?
Ans: c. Prealbumin
13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingdrug-
nutrientreactions?
Ans: d. Phenytoin
14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)tract?
Ans: d. Without nutritional stimulation, mucosal villi atrophy.
15.An important nutritional consideration in the elderly population is:
Ans: c. potential for drug-nutrient interaction related to polypharmacy.
16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclude:
Ans: d. weight loss, elevated glucose, and dehydration
17.In trauma patients ,enteral nutrition via nasogastric tube feedings into the small bowel is
best initiated within what time frame following the injury?
Ans: a. 24hours
, 18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiaisinthecriticalcareunitonave
ntilator.Thenutritionassessmentnotesthatthepatienthasaproteinandvitamindeficiencyandisund
erweight.Whichformulafornutritionalassessmentismostappropriate?
Ans: b. Fiber-addedformula
19.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferredsourceofnutritionalther
apy
Ans: d. Gut mucosa is preserved.
20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofprotein?
Ans: b. The patient with ileitis
21.Thebestnursingapproachtopreventfeedingtubeobstructionis:
Ans: b. flushthetubeevery4hourswith20to30mLoftapwater.
22.Patientsexperiencingseverephysiologicalstressincreasetheirnutritionalrequirementsto:
Ans: c. 35kcal/kg/day
23.Malnutritioncontributestoinfectionriskby
Ans: b. impairing immune function
24.Apatient,whohasatubefeeding,requiresachestx-
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenurse:
Ans: d. stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograph.
1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Selectallthatapply.)
