24 Questions
What is a potential risk associated with rapid feeding in enteral nutrition?
Hypokalemia and hypophosphatemia
Why is it essential to monitor gastric residual volume during enteral nutrition?
To prevent aspiration
What is a critical aspect of transitional feeding management?
Gradually increasing the caloric intake
How often should serum glucose be monitored in patients with diabetes before initiating enteral nutrition?
Every 6 hours
What is a common complication associated with enteral nutrition, especially in patients with nephrotic syndrome, CHF, or cirrhosis?
Hyponatremia
What is an important factor to assess when evaluating a patient's hydration status?
All of the above
What is a potential consequence of not monitoring electrolyte levels during enteral nutrition?
Electrolyte imbalance
Why is it essential to monitor stool frequency, volume, and consistency during enteral nutrition?
To detect diarrhea, which is defined as stool weight > 250-300g with a water consistency and >3 times a day
What is one of the primary objectives of enteral feeding related to protein metabolism?
To preserve lean body tissue by preventing negative nitrogen balance
Which is a contraindication for enteral nutrition?
Non-operative mechanical GI obstruction
Which benefit is specifically related to enteral nutrition and infection control?
Prevents bacterial translocation
Which factor is essential when determining the method of enteral feeding administration?
Feeding site
When is enteral nutrition indicated for a patient unable to eat solids?
Impaired nutrient ingestion
Which type of access for enteral nutrition is considered temporary?
Nasogastric
For malnourished patients, what is the minimum duration of enteral nutrition required to avoid it being contraindicated?
More than 5-7 days
What is an advantage of enteral feeding over parenteral feeding in the context of the immune system?
Supports the immune system
Which gastric residual volume (GRV) indicates the need to hold the feeding and reassess tolerance?
>500 ml
What should be corrected before initiating nutritional support to manage refeeding syndrome?
Electrolyte abnormalities
During the transition from enteral nutrition (EN) to oral intake, what can help manage dysphagia early in the process?
Consultation with a speech and language professional
What is a conservative approach in managing the transition from enteral nutrition (EN) to oral intake?
Removing the enteral access device only after ensuring stable oral intake
What should be monitored after administering volume and energy slowly to manage refeeding syndrome?
Pulse rate, intake, and output, and electrolyte levels
When transitioning from parenteral nutrition (PN) to enteral nutrition (EN), what percentage of requirements should EN provide before discontinuing PN?
>75%
Why is close observation necessary during the transition from EN to oral intake?
To avoid nutrient inadequacy and weight loss
What practice is important to reduce the risk of aspiration during feeding?
Positioning the head at 45 degrees
This quiz covers the indications and advantages of small bowel access, as well as the selection of enteral formulations. It is essential for healthcare professionals, particularly dietitians and nurses, who work with patients requiring enteral nutrition.
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