Question 1

Foods allowed on a clear liquid diet include:

Accepted Answer

A)   broth.
B)   cream soup.
C)   milk.
D)   pudding.

Question 2

The use of a low-residue diet may be recommended preoperatively for clients:

Accepted Answer

A)   scheduled for gastrointestinal surgery.
B)   greater than 65 years of age.
C)   who are overweight.
D)   scheduled for any type of surgery.

Question 3

During the postoperative period, the primary source of energy should be:

Accepted Answer

A)   protein.
B)   carbohydrates.
C)   fat.
D)   specially developed formulas.

Question 4

Postsurgical patients should resume oral feedings as soon as possible to:

Accepted Answer

A)   prevent dehydration.
B)   prevent permanent damage to the gastrointestinal tract.
C)   provide adequate nutrition.
D)   support optimal kidney function. C

Question 5

Clients who have undergone radical neck or facial surgery are often fed using:

Accepted Answer

A)   a straw.
B)   a nasogastric tube.
C)   a percutaneous endoscopic gastrostomy (PEG)  tube.
D)   parenteral nutrition.

Question 6

Before general surgical procedures, oral food and fluids are withheld from patients for at least:

Accepted Answer

A)   4 to 6 hours.
B)   6 to 8 hours.
C)   8 to 12 hours.
D)   12 to 24 hours. C

Question 7

In the first 24 to 48 hours after the burn injury, patients with second- or third-degree burns that cover 15% to 20% or more of their total body surface usually require:

Accepted Answer

A)   enteral nutrition.
B)   total parenteral nutrition.
C)   small frequent meals.
D)   IV fluid and electrolytes.

Question 8

Oral intake is generally adequate in adults who have burns covering less than:

Accepted Answer

A)   10% of the total body surface area.
B)   15% of the total body surface area.
C)   25% of the total body surface area.
D)   50% of the total body surface area.

Question 9

When a client has the most radical form of total gastrectomy (Billroth II) , the stomach is excised and the esophagus is joined to the:

Accepted Answer

A)   ileum.
B)   duodenum.
C)   jejunum.
D)   rectum.

Question 10

During the ebb phase following thermal injury, overall metabolism is:

Accepted Answer

A)   unchanged.
B)   low.
C)   high.
D)   unpredictable.

Question 11

Fat intake in patients who have experienced burns or multiple trauma should be:

Accepted Answer

A)   5% to 10% of total kilocalories (kcalories or kcal) .
B)   12% to 15% of total kilocalories (kcalories or kcal) .
C)   15% to 18% of total kilocalories (kcalories or kcal) .
D)   20% to 30% of total kilocalories (kcalories or kcal) .

Question 12

The name of the surgical procedure in which the ileum is attached to an opening in the abdominal wall is called a(n) :

Accepted Answer

A)   colostomy.
B)   ileostomy.
C)   jejunostomy.
D)   cholecystectomy.

Question 13

Symptoms of dumping syndrome are most likely to occur after patients consume:

Accepted Answer

A)   protein.
B)   fat.
C)   simple carbohydrates.
D)   complex carbohydrates.

Question 14

The IV solution administered during the initial stage of a severe burn injury to prevent hypovolemia is:

Accepted Answer

A)   lactated Ringer's.
B)   5% dextrose.
C)   normal saline.
D)   10% dextrose.

Question 15

In the first few weeks after a gastrectomy, the recommended diet is:

Accepted Answer

A)   parenteral nutrition until the stomach has healed.
B)   small, frequent meals that can be easily digested.
C)   clear liquids served at room temperature.
D)   full liquids served cold.

Question 16

The ideal method for estimating energy needs is:

Accepted Answer

A)   Harris-Benedict equations.
B)   20 to 30 kcal/kg ideal body weight per day.
C)   daily weight measurements.
D)   indirect calorimetry. D

Question 17

Protein is important in the postoperative recovery period for tissue synthesis and:

Accepted Answer

A)   good immune function.
B)   maintaining insulin levels.
C)   metabolism of antibiotics.
D)   sparing glycogen stores.

Question 18

Gastric bypass is recommended only for patients who need to lose more than:

Accepted Answer

A)   20 lb.
B)   50 lb.
C)   100 lb.
D)   150 lb.

Question 19

For patients with burns covering more than 20% of total body surface area, resting energy expenditure (REE)  exceeds that calculated using the Harris-Benedict equations by about:

Accepted Answer

A)   20% to 30%.
B)   30% to 50%.
C)   50% to 60%.
D)   80% to 100%.

Question 20

The preferred type of enteral feeding for burn patients is:

Accepted Answer

A)   nasogastric.
B)   gastrostomy.
C)   nasoenteric.
D)   jejunal.

Exam 17: Metabolic Stress

Foods allowed on a clear liquid diet include:

Correct AnswerverifiedShow Answer

The use of a low-residue diet may be recommended preoperatively for clients:

Correct AnswerverifiedShow Answer

During the postoperative period, the primary source of energy should be:

Correct AnswerverifiedShow Answer

Postsurgical patients should resume oral feedings as soon as possible to:

Correct AnswerverifiedC

Clients who have undergone radical neck or facial surgery are often fed using:

Correct AnswerverifiedShow Answer

Before general surgical procedures, oral food and fluids are withheld from patients for at least:

Correct AnswerverifiedC

In the first 24 to 48 hours after the burn injury, patients with second- or third-degree burns that cover 15% to 20% or more of their total body surface usually require:

Correct AnswerverifiedShow Answer

Oral intake is generally adequate in adults who have burns covering less than:

Correct AnswerverifiedShow Answer

When a client has the most radical form of total gastrectomy (Billroth II) , the stomach is excised and the esophagus is joined to the:

Correct AnswerverifiedShow Answer

During the ebb phase following thermal injury, overall metabolism is:

Correct AnswerverifiedShow Answer

Fat intake in patients who have experienced burns or multiple trauma should be:

Correct AnswerverifiedShow Answer

The name of the surgical procedure in which the ileum is attached to an opening in the abdominal wall is called a(n) :

Correct AnswerverifiedShow Answer

Symptoms of dumping syndrome are most likely to occur after patients consume:

Correct AnswerverifiedShow Answer

The IV solution administered during the initial stage of a severe burn injury to prevent hypovolemia is:

Correct AnswerverifiedShow Answer

In the first few weeks after a gastrectomy, the recommended diet is:

Correct AnswerverifiedShow Answer

The ideal method for estimating energy needs is:

Correct AnswerverifiedD

Protein is important in the postoperative recovery period for tissue synthesis and:

Correct AnswerverifiedShow Answer

Gastric bypass is recommended only for patients who need to lose more than:

Correct AnswerverifiedShow Answer

For patients with burns covering more than 20% of total body surface area, resting energy expenditure (REE) exceeds that calculated using the Harris-Benedict equations by about:

Correct AnswerverifiedShow Answer

The preferred type of enteral feeding for burn patients is:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified