ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 24 : Nutritional Care and Support Questions
Question 1 of 5
A patient is receiving TPN via a central venous catheter. The patient's wife is concerned about his care and wants to know why the TPN bag is not changed as often as a regular IV bag of solution would be. You respond by telling her the standard for changing the TPN bag is every:
Correct Answer: D
Rationale: TPN bags are typically changed every 24 hours to minimize infection risk and maintain stability of the nutrient solution.
Question 2 of 5
You are caring for a patient who is scheduled for surgery. Your teaching will include information about nutrition and healing. You will tell the patient which of the following macronutrients is required for tissue repair?
Correct Answer: D
Rationale: Protein is essential for tissue repair and wound healing, as it provides amino acids needed for cell regeneration and collagen formation.
Question 3 of 5
As a home health nurse, you will be caring for the patients noted below. Which patient is at greatest risk for experiencing inadequate nutrition?
Correct Answer: B
Rationale: The 72-year-old widow post-CVA is at greatest risk due to potential swallowing difficulties (dysphagia) and limited ability to prepare meals independently.
Question 4 of 5
Critically ill, tube-fed patients should have the head of the bed raised to during feedings and for up to 1 hour after feedings.
Correct Answer: C
Rationale: Raising the head of the bed to 30-45 degrees during and after tube feedings reduces the risk of aspiration in critically ill patients.
Question 5 of 5
What intervention(s) should you prepare for when caring for a patient who is 6 hours post burn with 30% seconddegree burns and absent bowel sounds?
Correct Answer: A,B
Rationale: Burns over 20% of total body surface area (TBS
A) can lead to paralytic ileus, where the GI tract temporarily stops moving. Absent bowel sounds suggest the GI system is not functioning properly.
To prevent vomiting, aspiration, or bowel distension, oral intake is withheld. An NG (nasogastric) tube may be inserted to decompress the stomach and reduce the risk of complications.