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Fundamentals Ch 27 Nutritional Therapy & Assisted Feeding

Total questions: 27

Worksheet time: 33mins

Name
Class
Date
1.

Which structure is located between the pharynx and stomach?

a)

Esophagus

b)

Tongue

c)

Salivary Glands

d)

Jejunum

2.

What is enteral nutrition?

a)

Fluid administered through a needle inserted into a vein

b)

An opening in the stomach

c)

Nutrients sent into the gastrointestinal tract through a feeding tube

d)

A tube inserted through the nose into the stomach

3.

Which of the following is the correct definition of a gastrostomy tube?

a)

AN opening in the stomach

b)

A tube inserted through a surgically created opening into the middle part of the small intestine

c)

A tube inserted through a surgically created opening through the abdominal wall and into the stomach

d)

A tube inserted through the nose and into the stomach

4.

When is enteral tube-feeding required?

a)

When the client is unable to take in nutrients orally and the stomach and intestinal tract are not functional for absorption of nutrients

b)

When the client is able to swallow food but is having a difficult time with the digestion and absorption of food

c)

When the client is able to take nutrients by mouth but has difficulty with the absorption of food

d)

When the client is unable to take nutrients orally but the stomach and intestinal tract are still able to digest and absorb food

5.

The term “PEG tube” is mentioned in the client's care plan. What does “PEG” stand for?

a)

Passive enteral graphic

b)

Providing external gut

c)

Potential excessive gurgitation

d)

Percutaneous endoscopic gastrostomy

6.

The nurse is aware of the importance of following infection prevention and control guidelines when administering tube feedings to clients. Which of the following interventions are associated infection prevention best practices regarding tube feedings? SELECT ALL THAT APPLY

a)

Always position the client in an upright position.

b)

Always wear protective equipment in case of a spill.

c)

Always store opened cans of formula in the freezer.

d)

Always store unused formula in the refrigerator.

e)

Any unused portion of formula must be used within 24 hours.

7.

The healthcare provider has just ordered a client who has a gastrostomy tube to receive a continuous enteral tube feeding. The nurse is aware certain equipment is needed to provide the continuous tube feeding. Which of the following is necessary to provide the continuous feeding?

a)

A syringe

b)

An electronic feeding pump

c)

A gravity tube feed set

d)

A gavage aspiration monitor

8.

The client starts coughing immediately after the tube feed is completed. The nurse knows coughing could be a sign of which of the following?

a)

Aspiration

b)

Influenza

c)

Flatus

d)

Allergic Reaction

9.

What is the definition of aspiration?

a)

A swallowing disorder

b)

Back flow of stomach contents into the mouth

c)

Flushing the feeding tube with water

d)

Inhaling fluid or an object into the lungs

10.

Why is the client kept in a semi-Fowler's or higher position after an enteral feed?

a)

To prevent regurgitation

b)

To promote mobility

c)

To improve oxygenation

d)

To reduce an enlarged abdomen

11.

How long should the client be positioned in a sitting position after an enteral feed?

a)

10- 15 min

b)

15- 30 min

c)

30 - 60 min

d)

2-3 hours

12.

Which of the following is a characteristic of a heart healthy diet?

a)

low carb, low salt

b)

low protein, low salt

c)

low fat, low salt

d)

high carb, low salt

13.

Which of the following is a diet that could be ordered for clients with chewing or swallowing difficulty?

a)

pureed or mechanical soft

b)

pureed or bland

c)

bland or soft

d)

low residue or pureed

14.

Any patient who asks for a nutrition supplement may have it.

a)

true

b)

false

15.

It is most important to monitor or regulate which of the following with a diabetic client?

a)

carbohydrates

b)

fat

c)

protein

d)

sodium

16.

which thickened liquid is the least thick?

a)

honey

b)

nectar

c)

pudding

17.

Which of the following is not allowed on a full liquid diet

a)

pudding

b)

cream of celery soup

c)

mashed potatoes

d)

ice cream

18.

patients on a full liquid diet can also have

a)

pureed foods

b)

clear liquids

c)

vegetable smoothie from blender

d)

applesauce

19.

someone on clear liquids may have all of the following except

a)

jello

b)

popsicle

c)

orange juice

d)

coffee

20.

The most important macronutrient for proper wound healing is

a)

carbohydrate

b)

protein

c)

fat / lipids

d)

minerals

21.

Most adults should drink about ______ of water daily.

a)

250 - 500 mL

b)

500 mL - 1 L

c)

1.5 - 2 L

22.

The care team member responsible for selecting the diet order is

a)

physician / healthcare provider

b)

nurse

c)

CNA

d)

speech therapist

23.

inhaling food or liquid into the trachea & lungs

a)

aspiration

b)

choking

c)

expiration

d)

is not a cause for concern

24.

Which feeding method is delivered parenterally and does not involve the GI tract?

a)

TPN

b)

PEG

c)

NG

d)

J-tube

25.

A PEG tube is a feeding tube inserted through the

a)

nose

b)

esophagus

c)

abdominal wall

d)

IV

26.
A feeding tube that is surgically inserted into the stomach is:
a)
Jejunostomy tube
b)
Gastrostomy tube
c)
Naso-gastric tube
d)
Naso-enteral tube
27.

Your patient is scheduled for enteral feedings at 8a-12p-4p-8p, this is referred to as:

a)

Continuous feeding

b)

Intermittent feeding