C HAPTER 46: N UTRITION
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. A patient is receiving continuous t ube feedings at 100 m L/hr. At 1400, the
nurse determines that there is 175 mL of residual volume. Which action
will the nurse take?
a. Continue the feedings as ordered.
b. Reduce the feeding by 50%.
c. Stop the feeding and notify the healthcare provider.
d. Aspirate and dispose of the residual and restart the feeding.
ANS: C
When the residual volume of a tube feeding exceeds 100 mL (or the limit set
by the healthcare provider), the tube feeding is stopped and the residual
volume is rechecked within 1 hour. When the residual volume has returned to
the limits set by the healthcare provider, it is restarted. Because the residual
amount already exceeds the recommended amount, the feeding should not
continue. Infusion rate should not be changed without an order from the
healthcare provider.
DIF: Cognitive Level: Application REF: p. 783 OBJ: 5
NAT: NCLEX Client Needs Category: Safe, Effective Care
Environment
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Nutrition | Safet y
, 2. Which term identifies the average dail y dietary intake level sufficient to
meet the nutrient requirements of most healthy individuals in a group?
a. Dietary Reference Intake (DR I)
b. Tolerable Upper Intake Level (UL)
c. Estimated Average Requirements (EAR)
d. Adequate Intake (AI)
ANS: A
The Recommended Dietary Allowance (RDA) table lists the average dail y
dietary intake level that is sufficient to meet the nutrient requirements of
almost all (97% to 98%) healthy individuals in a group. RDAs are goals in
meeting nutritional needs. The UL is the highest level of daily nutrient intake
that is likel y to pose no risk of adverse health effects to almost all
individuals in the general population. the EAR is a nutrient intake value that
is estimated to meet the requirement of half of the healthy individuals in a
group. The AI is a value based on observed or experimentall y determined
approximations of nutrient intake by a group of healthy people. The AI is
used when the RDA cannot be determined.
DIF: Cognitive Level: Knowledge REF: p. 775 OBJ: N/A
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Planning
CON: Clinical Judgment | Nutrition | Health Promotion
3. Which term describes a macronutrient that is a separate factor necessary
for complete nutrition and wellness?
a. Phytochemical
b. Trace mineral
c. Fibre
d. A vitamin
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. A patient is receiving continuous t ube feedings at 100 m L/hr. At 1400, the
nurse determines that there is 175 mL of residual volume. Which action
will the nurse take?
a. Continue the feedings as ordered.
b. Reduce the feeding by 50%.
c. Stop the feeding and notify the healthcare provider.
d. Aspirate and dispose of the residual and restart the feeding.
ANS: C
When the residual volume of a tube feeding exceeds 100 mL (or the limit set
by the healthcare provider), the tube feeding is stopped and the residual
volume is rechecked within 1 hour. When the residual volume has returned to
the limits set by the healthcare provider, it is restarted. Because the residual
amount already exceeds the recommended amount, the feeding should not
continue. Infusion rate should not be changed without an order from the
healthcare provider.
DIF: Cognitive Level: Application REF: p. 783 OBJ: 5
NAT: NCLEX Client Needs Category: Safe, Effective Care
Environment
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Nutrition | Safet y
, 2. Which term identifies the average dail y dietary intake level sufficient to
meet the nutrient requirements of most healthy individuals in a group?
a. Dietary Reference Intake (DR I)
b. Tolerable Upper Intake Level (UL)
c. Estimated Average Requirements (EAR)
d. Adequate Intake (AI)
ANS: A
The Recommended Dietary Allowance (RDA) table lists the average dail y
dietary intake level that is sufficient to meet the nutrient requirements of
almost all (97% to 98%) healthy individuals in a group. RDAs are goals in
meeting nutritional needs. The UL is the highest level of daily nutrient intake
that is likel y to pose no risk of adverse health effects to almost all
individuals in the general population. the EAR is a nutrient intake value that
is estimated to meet the requirement of half of the healthy individuals in a
group. The AI is a value based on observed or experimentall y determined
approximations of nutrient intake by a group of healthy people. The AI is
used when the RDA cannot be determined.
DIF: Cognitive Level: Knowledge REF: p. 775 OBJ: N/A
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Planning
CON: Clinical Judgment | Nutrition | Health Promotion
3. Which term describes a macronutrient that is a separate factor necessary
for complete nutrition and wellness?
a. Phytochemical
b. Trace mineral
c. Fibre
d. A vitamin
