Exam (elaborations)
TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSIN2
TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSIN2
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
TEST BANK FOR INTRODUCTION TO CRITICALCARE NURSING, 8TH EDITION, MARY LOU SOLE,
DEBORAH KLEIN, MARTHE MOSELEY,
1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO.Becauseent
eraltubefeedingsarenotpossible,thedecisionistoinitiateparenteralfeedings.Whatarethe
majorcomplicationsforthistherapy - ANSWER b.
Fluidandelectrolyteimbalancesandsepsis
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanasogastricsmal
l-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubeplacem
ent? - ANSWER d. Topreventaspirationofthefeedings
3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsiteforcathete
rinsertion? - ANSWER d. Subclavianvein
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingaswallowstudy
,thepatientisplacedonenteralfeedings.Followingplacementofanasogastrictubefortubef
eeding,whatisthenextcriticalstep? - ANSWER c. Obtainachestradiograph.
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcontinuousf
lowtubefeeding.Thenurseknowsthatthisapproachwaschosenbecause: - ANSWER c.
theintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwaves
6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenursewouldcar
ryoutwhichinterventiontominimizeaspirationrisk? - ANSWER
Elevatetheheadofthebed30degrees.
7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mLofmilkygree
nfluid.Thisisaconcernbecausethismostlikelydemonstratesthatthepatienthas: -
ANSWER d. tube feeding intolerance.
8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygreenliquid.The
nurseholdsthetubefeeding,whichhadbeeninfusingat100mL/
hr.Thenurseknowsthatthenextactionshouldbe: - ANSWER d. recheck the residual in
2hours
9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingintolerance
? - ANSWER a. Abdominal distention
10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextremediarrhea.A
stoolspecimeniscollectedtocheckforwhichpossiblecause? - ANSWER a. Clostridium
difficile
,11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestudentnurselisted
possibleinterventionsforthispatient.Whichinterventionneedscorrectionbeforefinalizingt
heplanofcare? - ANSWER b. Infuseantibioticsthroughtheintravenousline.
12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodtestasthemostsen
sitiveindicatorofproteinsynthesisandcatabolism? - ANSWER c. Prealbumin
13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingdru
g-nutrientreactions? - ANSWER d. Phenytoin
14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)tract? -
ANSWER d. Without nutritional stimulation, mucosal villi atrophy.
15.An important nutritional consideration in the elderly population is: - ANSWER c.
potential for drug-nutrient interaction related to polypharmacy.
16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclude: - ANSWER
d. weight loss, elevated glucose, and dehydration
17.In trauma patients ,enteral nutrition via nasogastric tube feedings into the small
bowel is best initiated within what time frame following the injury? - ANSWER a.
24hours
18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiaisinthecriticalcareu
nitonaventilator.Thenutritionassessmentnotesthatthepatienthasaproteinandvitaminde
ficiencyandisunderweight.Whichformulafornutritionalassessmentismostappropriate? -
ANSWER b. Fiber-addedformula
19.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferredsourceofnutri
tionaltherapy - ANSWER d. Gut mucosa is preserved.
20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofprotein? -
ANSWER b. The patient with ileitis
21.Thebestnursingapproachtopreventfeedingtubeobstructionis: - ANSWER b.
flushthetubeevery4hourswith20to30mLoftapwater.
22.Patientsexperiencingseverephysiologicalstressincreasetheirnutritionalrequirement
sto: - ANSWER c. 35kcal/kg/day
23.Malnutritioncontributestoinfectionriskby - ANSWER b. impairing immune function
24.Apatient,whohasatubefeeding,requiresachestx-
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenurse: - ANSWER d.
stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograph.
1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Selectallthatapply.) -
ANSWER a.
, Assessingfluidvolumestatusandpreventinginfectionareimportantnursingconsideration
s.b. Fingerstickglucoselevelsareassessedevery6hoursandprn.
d.
Totalparenteralnutrition,withaddedlipids,providesadequatelevelsofprotein,carbohydra
tes,andfats.
2.Whichintervention(s)is(are)criticalduringintravenouslipidadministration?
(Selectallthatapply). - ANSWER b. Changethetubingevery24hours.
d. Monitortriglyceridelevels.
3.Calorie-densefeedings:(Selectallthatapply.) - ANSWER a. are most useful in heart
failure and liver disease.
4.Risksoftotalparenteralnutritioninclude:(Selectallthatapply.) - ANSWER b.
elevatedbloodsugar.
c. infectionatthecathetersite.
d. volumeoverload.
5.Whichofthefollowingstatementsistrueaboutinsulinandparenteralnutrition?
(Selectallthatapply.) - ANSWER a.
Amountofparenteralinsulinisadjustedbasedontheprevious24-hourlaboratoryvalues.
b. Insulinmaybeaddedtoaparenteralnutritionsolution.
c. Subcutaneousinsulinisusedonaslidingscaleduringparenteralnutrition.
Thecorrectorderofactionsforapatientstartingenteralnutritionwithafeedingtubeis:__ -
ANSWER A.Initiatetubefeeding. B.Insertfeedingtube. C.Flushtubetoverifypatency.
D.Obtainchestradiograph. E.Assessresiduals. ANS: B,D,C,A,E
1.Apatienthascoronaryarterybypassgraftsurgeryandistransportedtothesurgicalintensiv
ecareunitatnoon.Heisplacedonmechanicalventilation.Interprethisinitialarterialbloodga
slevels:
pH7.31
PaCO248mmHg
Bicarbonate22mEq/L
PaO2115mmHg
O2saturation99% - ANSWER d. Uncompensated
respiratory
acidosis;
hyperoxygenated
2.Thephysicianordersthefollowingmechanicalventilationsettingsforapatientwhoweighs
75kg.Thepatientsspontaneousrespiratoryrateis22breaths/
min.Whatarterialbloodgasabnormalitymayoccurifthepatientcontinuestobetachypneicat
theseventilatorsettings?
Settings:
Tidalvolume:600mL(8mLperkg)
FiO2:0.5
Respiratoryrate:14breaths/min
Modeassist/ control - ANSWER d. Respiratoryalkalosis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller leonardmuriithi061. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now