Nutritional Support Quiz

A patient who has difficulty swallowing and is unable to eat normally due to a stroke requires nutritional support. Which of the following methods of nutrition should be considered first?

• Total parenteral nutrition (TPN)

• Enteral nutrition via a nasogastric (NG) tube

• Oral supplementation with protein drinks

• Intravenous glucose infusion

A patient is recovering from major surgery and is unable to tolerate oral intake for an extended period. The healthcare team decides to initiate nutritional support via a feeding tube. What is the most common type of enteral nutrition for short-term use?

• Gastrostomy tube

• Nasogastric (NG) tube

• Percutaneous endoscopic gastrostomy (PEG) tube

• Jejunostomy tube

A patient with severe gastrointestinal dysfunction is unable to use their digestive system. They are ordered parenteral nutrition. Which of the following is the primary method for providing parenteral nutrition?

• Intravenous (IV) infusion of amino acids and lipids

• Enteral feeding through a nasogastric tube

• Nasal feeding using a special catheter

• Oral intake of clear liquids

A patient who has undergone a major abdominal surgery is unable to tolerate enteral nutrition. The doctor recommends parenteral nutrition. What is the key concern when administering parenteral nutrition?

• Risk of aspiration

• Risk of infection from catheter insertion

• Need for a feeding tube placement

• Lack of absorption of fat-soluble vitamins

A patient has been diagnosed with pancreatitis and cannot digest food through the gastrointestinal tract. The doctor recommends using enteral nutrition via a jejunostomy tube. What is the primary reason for this choice?

• Jejunostomy tubes are easier to place

• It allows bypassing the stomach to reduce stimulation

• It is the most cost-effective method

• It provides a longer duration of use than a nasogastric tube

A critically ill patient requires total parenteral nutrition (TPN) to meet their nutritional needs. Which of the following complications is the most common when administering TPN?

• Hyperglycemia

• Electrolyte imbalance

• Pneumothorax

• Infection at the catheter site

A patient with an ileus and severe malnutrition needs nutritional support. What is the best choice for short-term nutritional therapy?

• TPN through a central line

• NG tube for enteral feeding

• TPN via a peripheral IV

• Oral high-calorie supplements

A patient undergoing chemotherapy is experiencing severe nausea and vomiting and is unable to take food by mouth. The doctor orders enteral nutrition. What is the best choice for the method of delivery?

• Nasogastric (NG) tube

• Total parenteral nutrition (TPN)

• Jejunostomy tube

• Intravenous glucose infusion

A patient has a functional but non-working gastrointestinal system due to an intestinal obstruction. What form of nutritional support is most appropriate for this patient?

• Enteral feeding through a nasogastric tube

• Total parenteral nutrition (TPN) via central venous access

• Intravenous hydration only

• Oral feeding with fiber-rich foods

A patient has been on enteral nutrition via an NG tube for a few days and begins to experience signs of aspiration pneumonia. What is the most appropriate next step?

• Switch to parenteral nutrition

• Elevate the head of the bed and change the feeding regimen

• Continue NG feeding at the same rate

• Increase the calorie content of the enteral formula