NURS 2750 Exam 2 Learning Outcomes
Questions With Complete Solutions
Modify a menu to an altered consistency diet (e.g., clear liquid
diet, pureed diet, mechanically altered diet Correct Answers
hh
Clear Liquid - Water, tea, broth, apple juice
hh
- To prevent dehydration and relieve stress - Prior to procedure
Full Liquid - Add soup, milk, pudding, strained fruits and
veggies
- When transitioning from fluids to soft diet - Postoperative
recovery
Regular - Normal
Pureed - Blended too liquid form
- Dysphagia
Mechanically Altered - Regular diet but modified in texture
- Dysphagia, tooth issues, chewing issues
Soft - Whole foods low in fiber and easily digested
- GI Issues
Standard enteral formulas Correct Answers the most commonly
hh hh
used formulas and are appropriate for most clients who require
EN. Variations of standard formulas can meet the needs of
clients who have elevated calorie and/or protein needs. Standard
formulas, also known as polymeric or intact formulas, are made
,from whole proteins found in foods (e.g., milk, meat, eggs) or
protein isolates.
Isotonic
Hydrolyzed formulas Correct Answers intended for clients with
hh hh
impaired GI function. Disease-specific formulas are also
available. Hydrolyzed or elemental formulas contain very little
residue and are intended for clients with impaired digestion or
absorption, such as people with inflammatory bowel disease,
cystic fibrosis, and pancreatic disorders.
Hypertonic
Indications, advantages, and disadvantages of nasogastric
feeding Correct Answers Prepyloric: feeding into the stomach
hh hh
indications:
- inability to safely and adequately consume oral intake
- short-term feeding (<4 weeks) with functional gastrointestinal
tract
advantages
- easy to place and remove tube
- can use stomach as reservoir
- can use intermittent feedings and without a pump
disadvantages
- contraindicated for clients at high risk for aspiration
- potentially irritating to the nose and esophagus
- may be removed by uncooperative or confused clients
, - not appropriate for long-term use
- unaesthetic for client
Indications, advantages, and disadvantages of gastrostomy
Correct Answers prepyloric: feeding into the stomach
hh hh
indications
- for long-term use in clients with a functional GI tract
- frequently used for clients with impaired ability to swallow
advantages
- feedings can be given intermittently and without a pump
disadvantages
- moderate risk of aspiration in high rick clients; stoma care
required
- danger of peritonitis
- potential for tube dislodgment
Indications, advantages, and disadvantages of nasojejunal
Correct Answers postpyloric: feedings delivered beyond the
hh hh
pyloric sphincter
indications
- short-term feeding for clients at high risk aspiration, delayed
gastric emptying (GERD)
advantages
- lower risk of aspiration, especially important for clients who
have impaired gag or cough reflex, decreased consciousness,
ventilator dependence, or a history of aspiration pneumonia
Questions With Complete Solutions
Modify a menu to an altered consistency diet (e.g., clear liquid
diet, pureed diet, mechanically altered diet Correct Answers
hh
Clear Liquid - Water, tea, broth, apple juice
hh
- To prevent dehydration and relieve stress - Prior to procedure
Full Liquid - Add soup, milk, pudding, strained fruits and
veggies
- When transitioning from fluids to soft diet - Postoperative
recovery
Regular - Normal
Pureed - Blended too liquid form
- Dysphagia
Mechanically Altered - Regular diet but modified in texture
- Dysphagia, tooth issues, chewing issues
Soft - Whole foods low in fiber and easily digested
- GI Issues
Standard enteral formulas Correct Answers the most commonly
hh hh
used formulas and are appropriate for most clients who require
EN. Variations of standard formulas can meet the needs of
clients who have elevated calorie and/or protein needs. Standard
formulas, also known as polymeric or intact formulas, are made
,from whole proteins found in foods (e.g., milk, meat, eggs) or
protein isolates.
Isotonic
Hydrolyzed formulas Correct Answers intended for clients with
hh hh
impaired GI function. Disease-specific formulas are also
available. Hydrolyzed or elemental formulas contain very little
residue and are intended for clients with impaired digestion or
absorption, such as people with inflammatory bowel disease,
cystic fibrosis, and pancreatic disorders.
Hypertonic
Indications, advantages, and disadvantages of nasogastric
feeding Correct Answers Prepyloric: feeding into the stomach
hh hh
indications:
- inability to safely and adequately consume oral intake
- short-term feeding (<4 weeks) with functional gastrointestinal
tract
advantages
- easy to place and remove tube
- can use stomach as reservoir
- can use intermittent feedings and without a pump
disadvantages
- contraindicated for clients at high risk for aspiration
- potentially irritating to the nose and esophagus
- may be removed by uncooperative or confused clients
, - not appropriate for long-term use
- unaesthetic for client
Indications, advantages, and disadvantages of gastrostomy
Correct Answers prepyloric: feeding into the stomach
hh hh
indications
- for long-term use in clients with a functional GI tract
- frequently used for clients with impaired ability to swallow
advantages
- feedings can be given intermittently and without a pump
disadvantages
- moderate risk of aspiration in high rick clients; stoma care
required
- danger of peritonitis
- potential for tube dislodgment
Indications, advantages, and disadvantages of nasojejunal
Correct Answers postpyloric: feedings delivered beyond the
hh hh
pyloric sphincter
indications
- short-term feeding for clients at high risk aspiration, delayed
gastric emptying (GERD)
advantages
- lower risk of aspiration, especially important for clients who
have impaired gag or cough reflex, decreased consciousness,
ventilator dependence, or a history of aspiration pneumonia
