Exam (elaborations)

NR228 ROK for Final Exam

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Course
NR 228

Institution
NR 228

The nurse is caring for a post liver transplant client? What nutritional considerations would there be for the client? -Total parenteral nutrition or tube feeding may be necessary -Nutrition is not a concern because the client is overweight -Fats and carbohydrates are not a concern long term af...

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NR228 ROK for Final exam Dec. 2020

1. The nurse is caring for a post liver transplant client? What nutritional considerations
would there be for the client?
-Total parenteral nutrition or tube feeding may be necessary
-Nutrition is not a concern because the client is overweight
-Fats and carbohydrates are not a concern long term after transplant
-A dietary consult would not be necessary for the client

2. The nurse is caring for a client who has been in a 2 story fall with multiple broken
nd

bones and head trauma. The client is on enteral feeding at 50ml/hr and a water bolus of
100ml every 4hrs. What nursing interventions would be appropriate for this client?
Select all that apply
-Head of bed elevated 45 degrees
- turn client on life side
-monitor intake and output
-give additional water bolus as needed
-check gastric residual
-blood glucose monitoring

3. The nutritionist asks the new oncology nurse what is the increase in percentage of
energy/ nutrients needed when a patient has an infection?
-Greater than 20%
-15-20%
-5-10%
-10-15%

4. The GI tract not only is responsible for digestion and absorption of nutrients it also
does the following: Select all that apply.
-Can go weeks without food
- replaces electrolytes to the body
-prevents bacterial imbalance
-starts shutting down to stress response
-protects immunity
-Protects the host from harmful bacteria

5. The nurse is discussing fluid restriction with a client with cirrhosis. The nurse realizes
that the client needs further teaching when the client states?
-Im limited as to what I can drink and eat due to the fluid building in my abdomen
-I can only drink 1200ml of fluid a day but I can have all the jello I want
- Ice cream, pudding and milk are considerate fluids as well
-I should only drink the fluids on my tray and avoid all other fluids

6.The nurse is caring for a client with acute hepatitis B. The nurse knows what oral
feeding would be appropriate for this client.
-NGT feedings that are high in fiber and calories

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, NR228 ROK for Final exam Dec. 2020

-Liquid diet then progression ti small, frequent meals high in calories and protein
-Parenteral feedings with high dextrose content and low lipid content
-Several large meals daily with focus on high quality protein

7.True or false. Deaths from heart disease have declined.
-false
-true

8. Which statement best describes the change in nutritional advice?
-Low fats and high proteins are now being promoted
-Low fats and higher carbohydrates are now being promoted
-Variations of carbohydrates and trans fats are being promoted
-Healthy fats and moderate portions via the mediterrnean diet are being
promoted

9. Which disease is considered a considered a chronic lung disease
 Chronic Bronchitis
 Acute respiratory failure
 Respiratory distress syndrome
 Emphysema
 Asthma
10.Which of the following responses by the nurse best describes cancer cachexia?
-It involves polyphagia even though it results in severe weight loss
-It is the thinning of cardiac tissue leading to death
-It is the increase in cancer lead the causes anemia
-It involves anorexia and results in wasting of lean body mass

11.The nurse understands parenteral nutrition is a standard protocol for stem cell
transplantation. Why is it important to maintain some oral and enteral nutrition?

-It is not important because parenteral nutrition is adequate throughout
hospitalization
-only oral nutrition is an acceptable form of nutritional supplementation
-Parenteral nutrition is needed to maintain intestinal sterility
-Oral or enteral nutrition is important to promote small intestine integrity

12. Resections of which portions of the GI tract can alter nutritional intake and nutrition
absorption>
-Resection of the duodenum, jejunum and ileum
-Resection of any portion of the GI tract
-Resection of the stomach, ileum and colon
-Resection of the stomach of the stomach, duodenum and jejunum

13. The oncology nurse is discussing the difference between acute and chronic weight
loss. Which statement below is correct?
-A decrease in viral load is noted with chronic weight loss

This study source was downloaded by 100000830772748 from CourseHero.com on 05-10-2022 08:29:27 GMT -05:00

https://www.coursehero.com/file/79116490/NR228-ROK-for-Final-Examdocx/

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