Small Bowel Access and Enteral Formulations

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Questions and Answers

What is a potential risk associated with rapid feeding in enteral nutrition?

  • Hypokalemia and hypophosphatemia (correct)
  • Hypernatremia
  • Hypocalcemia
  • Hyperkalemia

Why is it essential to monitor gastric residual volume during enteral nutrition?

  • To prevent aspiration (correct)
  • To assess the effectiveness of promotility agents
  • To adjust the infusion rate of the formula
  • To evaluate the patient's hydration status

What is a critical aspect of transitional feeding management?

  • Gradually increasing the caloric intake (correct)
  • Monitoring electrolyte levels daily
  • Assessing the patient's hydration status weekly
  • Gradually decreasing the infusion rate

How often should serum glucose be monitored in patients with diabetes before initiating enteral nutrition?

<p>Every 6 hours (B)</p> Signup and view all the answers

What is a common complication associated with enteral nutrition, especially in patients with nephrotic syndrome, CHF, or cirrhosis?

<p>Hyponatremia (C)</p> Signup and view all the answers

What is an important factor to assess when evaluating a patient's hydration status?

<p>All of the above (D)</p> Signup and view all the answers

What is a potential consequence of not monitoring electrolyte levels during enteral nutrition?

<p>Electrolyte imbalance (B)</p> Signup and view all the answers

Why is it essential to monitor stool frequency, volume, and consistency during enteral nutrition?

<p>To detect diarrhea, which is defined as stool weight &gt; 250-300g with a water consistency and &gt;3 times a day (D)</p> Signup and view all the answers

What is one of the primary objectives of enteral feeding related to protein metabolism?

<p>To preserve lean body tissue by preventing negative nitrogen balance (C)</p> Signup and view all the answers

Which is a contraindication for enteral nutrition?

<p>Non-operative mechanical GI obstruction (A)</p> Signup and view all the answers

Which benefit is specifically related to enteral nutrition and infection control?

<p>Prevents bacterial translocation (C)</p> Signup and view all the answers

Which factor is essential when determining the method of enteral feeding administration?

<p>Feeding site (B)</p> Signup and view all the answers

When is enteral nutrition indicated for a patient unable to eat solids?

<p>Impaired nutrient ingestion (D)</p> Signup and view all the answers

Which type of access for enteral nutrition is considered temporary?

<p>Nasogastric (C)</p> Signup and view all the answers

For malnourished patients, what is the minimum duration of enteral nutrition required to avoid it being contraindicated?

<p>More than 5-7 days (A)</p> Signup and view all the answers

What is an advantage of enteral feeding over parenteral feeding in the context of the immune system?

<p>Supports the immune system (D)</p> Signup and view all the answers

Which gastric residual volume (GRV) indicates the need to hold the feeding and reassess tolerance?

<p>&gt;500 ml (B)</p> Signup and view all the answers

What should be corrected before initiating nutritional support to manage refeeding syndrome?

<p>Electrolyte abnormalities (A)</p> Signup and view all the answers

During the transition from enteral nutrition (EN) to oral intake, what can help manage dysphagia early in the process?

<p>Consultation with a speech and language professional (C)</p> Signup and view all the answers

What is a conservative approach in managing the transition from enteral nutrition (EN) to oral intake?

<p>Removing the enteral access device only after ensuring stable oral intake (D)</p> Signup and view all the answers

What should be monitored after administering volume and energy slowly to manage refeeding syndrome?

<p>Pulse rate, intake, and output, and electrolyte levels (B)</p> Signup and view all the answers

When transitioning from parenteral nutrition (PN) to enteral nutrition (EN), what percentage of requirements should EN provide before discontinuing PN?

<p>&gt;75% (A)</p> Signup and view all the answers

Why is close observation necessary during the transition from EN to oral intake?

<p>To avoid nutrient inadequacy and weight loss (A)</p> Signup and view all the answers

What practice is important to reduce the risk of aspiration during feeding?

<p>Positioning the head at 45 degrees (D)</p> Signup and view all the answers

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