ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 55 : Nutritional Supplements Questions
Question 1 of 5
The peripheral parenteral nutrition bag that has been infusing into the patient is empty, and the nurse realizes that the next bag is not ready. The nurse should immediately hang which of these intravenous solutions until the new bag arrives?
Correct Answer: A
Rationale: If intravenous parenteral nutrition is discontinued abruptly, rebound hypoglycemia may occur. This can be prevented with infusion of 5% to 10% glucose until the parenteral nutrition infusion is ready. For peripheral infusions, the dextrose must not be more than 10%.
Question 2 of 5
The nurse is preparing to administer medications to a patient who is receiving a feeding via a gastric tube. When reviewing the patient's medication list, the nurse notes a potential concern about a food-drug interaction if which medication is listed?
Correct Answer: B
Rationale: Tube feedings can reduce the absorption of phenytoin, which may result in seizures. It is recommended that tube feedings be held for at least 2 hours before and after the administration of phenytoin.
Question 3 of 5
A patient with type 2 diabetes will be receiving a nasogastric tube feeding for a few days. The nurse expects which type of formula to be used?
Correct Answer: C
Rationale: Glucerna is a formulation designed for use in patients with impaired glucose tolerance (e.g., diabetic patients). The other options are not designed for patients with diabetes.
Question 4 of 5
A patient with a partial bowel obstruction will be given a 1-week course of enteral tube feeding via a nasogastric tube. Which formulation is appropriate for this patient?
Correct Answer: A
Rationale: Elemental formulations are enteral supplements that require minimal digestion and are indicated for patients with pancreatitis, partial bowel obstruction, irritable bowel disease, and other problems. The other options are incorrect.
Question 5 of 5
The nurse is administering a parenteral nutrition infusion to a patient. The nurse will implement which measures to prevent infection? (Select all that apply.)
Correct Answer: D,E
Rationale:
To prevent infection during parenteral nutrition infusion, the nurse should monitor the patient's temperature every shift and report any increase over 100?°F. Changing the tubing every 24 hours (not 72 hours or with each new bag) and using a 0.22-micron filter (not 1.2-micron) are standard practices, but the options provided are incorrect for infection prevention.