CDRE Prep - Enteral Exam Questions and Correct Answers Latest Update 2024 ( Rated A+)
The patient's attending physician or designate authorizes the order for tube feeding in the Physician's
Orders. - Answers Which member of the health care team authorizes the tube feed order?
Enteral feeding by ...
The patient's attending physician or designate authorizes the order for tube feeding in the Physician's
Orders. - Answers Which member of the health care team authorizes the tube feed order?
Enteral feeding by tube provides total or supplemental nutritional support to the patient unable to
satisfy
metabolic requirements when the gastrointestinal tract is functional. - Answers Provide a brief
description of enteral nutrition.
Enteral nutrition is a practical and necessary alternative to oral feeding for patients who have a
functioning
GI tract and are unable to ingest adequate nutrients.
• stroke / coma / unconsciousness
• dysphagia
• critically ill, mechanically ventilated
• malnourished, failure to thrive
• high metabolic requirements (eg. major surgery, trauma, burns, sepsis)
• cancer of mouth, esophagus, stomach
• gastroparesis
• inflammatory bowel disease
• short gut syndrome
• radiation therapy, mild chemotherapy
• inadequate intake for 7-10 days
• distal feeding to low output fistula (<500 mL/day) - Answers What are the indications for EN
• paralytic ileus
• radiation enteritis
• short bowel (.70% of small bowel removed or non-functioning)
• gastrointestinal disease with impaired intestinal absorption
• GI obstruction (unless enteral feeding access distal to obstruction with sufficient length of proximal
, intestine to ensure adequate absorption)
• intractable vomiting/ diarrhea
• proximal duodenal or enterocutaneous fistula
• upper GI bleeding
• recent bowel surgery
• aggressive nutritional support is not desired by the patient or legal guardian
• the patient's medical prognosis does not warrant aggressive nutritional support - Answers What are
the contraindications of EN
1. Meal replacement
2. polymetric
3. Elemental
4. Special formula
5. Modular components - Answers Describe the 5 general classifications of commercial enteral formulae
available.
Meal Replacement Formulae: - Answers • are used with patients who have the ability to digest and
absorb nutrients
• intended as oral supplements and may not provided total nutritional support when used alone
• high osmolality and are not usually recommended for tube feed
Polymeric Formulae: - Answers consists of intact nutrients requiring normal proteolytic and lipolytic
function for proper digestion and
utilization
• can be used to provide total nutritional support or to supplement the oral intake of patients
• administered orally or through an enteral feeding tube
soy-protein, disaccharides and oligosaccharides, casein, vegetable oil, MCT oil - Answers what are
nutrient sources of polymeric formula
- high calorie (↑ calorie requirements/fluid restriction) eg. Nutren 1.5,
- high protein (↑ protein requirements with infection/pressure ulcer) eg. Promote
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