Use of a semi-elemental or elemental formula in place of a polymeric formula should be considered in all patients with

Which of the following is the best initial enteral feeding regimen for a critically ill adult?

A diabetic patient presents with early satiety, bloating, occasional vomiting, and extensive weight loss. After a thorough GI workup, the patient is diagnosed with gastroparesis. Which type of enteral formula would be more efficacious in this patient?

What is the most important intervention to reduce the risk of pulmonary aspiration during gastric tube feedings?

In a patient with fat malabsorption, an enteral product containing which of the following can provide a concentrated source of energy?

Which of the following medications has NOT been shown to lead to diarrhea in a patient receiving enteral nutrition?

Tube feeding is often held before and after enteral administration of all the following medications EXCEPT

Which of the following interventions may assist with the appropriate placement of a nasogastric feeding tube in an alert patient?

Drugs in microencapsulated bead or pellet form are most effectively administered through large-bore feeding tubes when mixed with

An ICU patient requires vasopressor support to maintain hemodynamic stability. The patient's mean arterial blood pressure is 50 mm Hg, vasopressor administration is decreasing and enteral nutrition (EN) is soon to be initiated. Which of the following is considered a possible early indicator of gut ischemia in this patient?

A 56 year old female with dysphagia who is afebrile and weighs 60 kg is on a standard 1 mL/kcal enteral formula at 180 mL/hr over 10 hours nightly. Which of the following volumes of water flushes would best meet her daily estimated fluid requirements?

Which of the following is LEAST likely to be problematic for placement of a percutaneous endoscopic gastrostomy (PEG) tube in a patient with liver disease?

Which of the following best describes the rationale for initiating enteral nutrition (EN)?

Which of the following is LEAST likely to facilitate transpyloric placement of a nasoenteric feeding tube?

In severe acute pancreatitis, when compared to parenteral nutrition, both gastric and jejunal feeds are associated with all of the following EXCEPT

Which of the following is an indication to place a gastrojejunostomy feeding tube?

Which of the following describes an optimal method of preparing and administering medications via an enteral feeding tube?

A 60-year old female is admitted with a stroke and fails a swallowing evaluation. A nasogastric tube is placed, and the physician requests an isotonic formula. Which of the following calorie densities of enteral formulas is isotonic?

Hospital-prepared enteral nutrition formulas should be stored at approximately what temperature?

What is the primary advantage of a direct percutaneous endoscopic placed jejunal tube (PEJ) versus a percutaneous endoscopic transgastric-placed jejunal tube (PEG-J)?

Placement of a jejunostomy feeding tube would NOT be beneficial for which of the following conditions?

A 74 year old male patient with history of Alzheimer's dementia and dysphagia requiring enteral nutrition as sole source of nutrition presents to hospital with fever, hypotension, poor skin turgor and dry mucus membranes. His height is 5'9" and weight is 67 kg. He is receiving 1200mL free water per day from enteral nutrition formula and 400mL from free water flush. His estimated calorie needs are 1800 kcal/day. How should his fluid needs be calculated?

Which of the following enteral formulas is LEAST likely to be contaminated with micro-organisms?

Which of the following is a benefit of early enteral nutrition in critically ill adult patients?

A patient is admitted with a traumatic brain injury and upon assessment it is determined that the patient will require enteral nutrition for the next three weeks. Which of the following is the preferred method of feeding tube placement?

Which of the following patient populations would most likely have difficulty tolerating a polymeric enteral formula?

In patients with pancreatitis, which of the following parameters would be LEAST important in predicting tolerance of enteral feedings?

What is the gold standard for determining proper position of a feeding tube placed at the bedside?

Compared to gastric feeding, post pyloric feeding is associated with which of the following outcomes in critically ill patients?

Which of the following is most often a CONTRAINDICATION to percutaneous endoscopic gastrostomy (PEG) tube placement?

Tube feedings can be effectively used in which of the following conditions?

Lactose is a common ingredient in which type of enteral formula?

A patient with acute respiratory distress syndrome (ARDS) receiving enteral nutrition will benefit most from

Which of the following is an advantage of a gastrostomy feeding tube compared to a nasogastric feeding tube?

Which of the following strategies can be employed to reduce the risk of feeding tube occlusion?

A 45-year-old male was admitted with chronic stage IV pressure injuries, sepsis and acute respiratory failure requiring mechanical ventilation. The patient's BUN is stable, he has no additional excess GI losses via drains or tubes. A polymeric high protein enteral nutrition formula was started on day 1 of admission. On day 7 of admission, the primary care team requested an evaluation of the protein dose provided by the enteral nutrition. Enteral nutrition was the patient's sole source of nutrition and provides 136 grams (1.5gm/kg) protein per day. What is the best method to assess protein adequacy?

Which of the following is a desirable feature of skin-leel or low-profile enteral access devices?

Which of the following would be the most appropriate tube feeding formula for a patient with extensive second and third degree burns?

The use of enteral nutrition formulas enriched with branched-chain amino acids may benefit patients with

Which of the following represents modular products?

Which of the following medications would be appropriate to crush and deliver via an enteral feeding tube?

A patient is receiving enteral nutrition during her second trimester of pregnancy. Nutritional assessment data reflect an average maternal weight gain of 0.42 lbs per week, normal fetal growth, an albumin of 2.0 gm/dL, and a nitrogen balance of +2 gm/day. Based on the data provided, which of the following parameters is not useful in assessing the efficacy of enteral nutrition in pregnancy?