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Nutritional Care for Upper GI Cancer

Total questions: 9

Worksheet time: 18mins

Name
Class
Date
1.

Your patient is experiencing severe dysphagia and odynophagia due to unresectable esophageal tumour. Nutrition assessment that you should do for him is

a)

bone mass

b)

dietary record

c)

laboratory result

d)

anthropometric measurement

2.

Factors that might affect Mr E nutritional status post gastrectomy is

a)

pain

b)

loss of digestive enzymes

c)

malabsorption of nutrients

d)

resection a portion of the gaster

3.

Which of the following is appropriate for a patient who has difficulty in swallowing foods but has functional gastrointestinal tract?

a)

Nasoenteric  feeding

b)

Gastrostomy feeding

c)

Oral liquid supplements

d)

Total parenteral nutrition

4.

The nurse is providing discharge education to a client following partial gastractomy. Which measure will the nurse instruct the client to follow to prevent dumping syndrome?

a)

Avoid taking fluids with meals

b)

Limit food high in sugar and candies

c)

Rest or lie down 15 minutes after a meal

d)

Eat 3 meals per day to avoid over loading of stomach

5.

Nursing interventions that you need to apply in preventing feeding tube clogged include

a)

use liquid form drugs

b)

use acidic fluids to flush tube

c)

flush the tube with 30cc of water after feeding

d)

use dishwashing liquid and water to wash the tube

6.

Calculate the body mass index (BMI) for your patient whose height is 167 cm and weight is 70 kg

a)

24.22

b)

25.10

c)

34.08

d)

41.91

7.

Types of nutritional feeding route you will consider for your patient with gastric cancer is

a)

gastric tube

b)

jejunostomy

c)

nasogastric tube

d)

total parenteral nutrition

8.

Your explanation to a patient plan for enteral tube is

a)

convenience to bring home

b)

indicated for short term nutritional support

c)

associated with more metabolic complications

d)

maintaining  the normal stimulation of digestive enzyme

9.

During procedure of nasogastric tube insertion, your patient begins to cough and has difficulty in breathing. Your nursing action is

a)

continue with the tube insertion

b)

notify the physician immediately

c)

remove the entire tube and reinsert when the respiratory distress subsides

d)

pull out half of the tube and  reinsert when the respiratory distress subsides