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Science
Medicine
Surgery
Chapter 55: Nutritional Supplments
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What is the goal of nutritional support during malnutrition?
Prevent the breakdown of tissue protein
A patient admitted with head and facial trauma is started on peripheral parenteral nutrition. What is the rationale for this route of therapy?
It is being utilized because nasogastric intubation should not be utilized.
How many kcal does 1 g of fat in nutritional supplements provide? Record your answer using a whole number.
9
A patient with impaired gastrointestinal function needs supplemental nutrition and requires 1000 kcal daily through supplementation. What is the preferred route of nutritional delivery?
Peripheral parenteral route
Which vein is used for delivering central parenteral nutrition?
Subclavian vein
What is an appropriate guideline for the administration of peripheral parenteral nutrition?
The patient will need supplementation for less than 2 weeks.
What assessment findings are indications of potential complications of enteral tube feedings? Select all that apply.
Hyperglycemia, Frequent loose stools, Aspiration pneumonia, Adventitious lung sounds
How many kcal are provided by 5 g of protein?
20
A patient is receiving a nasojejunal tube feeding of liquids at the rate of 150 mL/2 hr. The patient is also receiving 20 mL of cranberry juice and 10 mL of water with every feeding. What is the patient's total intake of fluids in a day?
2160 mL/day
What is the greatest source of calories supplied through parenteral nutrition?
dextrose
The nurse is administering 500 mL of 10% dextrose intravenously to a patient. How many kcal are supplemented by 500 mL of a 10% dextrose solution?
170
What is the reason for administering total parenteral nutrition through an intravenous route rather than administering enteral nutrition through a nasogastric tube?
It bypasses the gastrointestinal tract.
Why are polymeric formulas routinely used for enteral feedings?
They most closely resemble "normal" dietary intake.
Which type of nutritional formulation would be beneficial for a patient with phenylketonuria?
Altered amino acid formulation
A patient is to receive a total parenteral nutrition infusion over the next 24 hours. The bag contains 2000 mL. At what rate will the nurse program the infusion pump when setting up the infusion? ___ mL/hr
83 mL/hr
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