Question 1

The amount of dextrose in 3 L of 5% dextrose solution is:

Accepted Answer

A)   50g.
B)   150g.
C)   300g.
D)   500g.E) A) and C)
F) B) and C)

Question 2

Food present in the gastrointestinal tract at the time of general surgery will increase the client's risk for:

Accepted Answer

A)   gastrointestinal infection.
B)   aspiration or vomiting.
C)   postoperative constipation.
D)   fluid and electrolyte imbalances.E) A) and D)
F) All of the above

Question 3

A vitamin that is necessary for formation of scar tissue during the healing process is:

Accepted Answer

A)   vitamin A.
B)   vitamin C.
C)   vitamin B₁₂.
D)   thiamin.E) A) and D)
F) All of the above

Question 4

Omega-3 fatty acids may be important during periods of metabolic stress because they:

Accepted Answer

A)   spare amino acids for tissue repair.
B)   blunt the body's metabolic response to stress.
C)   enhance immune function and reduce inflammation.
D)   help stimulate appetite so that patients achieve adequate oral intake.E) A) and B)
F) None of the above

Question 5

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.E) B) and C)
F) C) and D)

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.E) A) and B)
F) All of the above

Question 7

The recommended diet for most patients with ostomies is:

Accepted Answer

A)   normal.
B)   high protein.
C)   low fiber.
D)   soft.E) B) and C)
F) A) and B)

Question 8

A burn that causes reddening and blistering with cell death in the dermis is classified as a:

Accepted Answer

A)   first-degree burn.
B)   second-degree burn.
C)   third-degree burn.
D)   fourth-degree burn.E) C) and D)
F) A) and C)

Question 9

Postoperatively, intravenous (IV)  fluids provide:

Accepted Answer

A)   energy and protein.
B)   fluids and some energy.
C)   fluids, electrolytes, and micronutrients.
D)   all nutrient needs.E) A) and B)
F) A) and C)

Question 10

Nutritional strategies that are helpful for management of dumping syndrome include:

Accepted Answer

A)   drinking iced beverages with meals.
B)   limiting fluids to once a day.
C)   avoiding caffeinated or carbonated beverages.
D)   offering fluids between rather than with meals.E) A) and D)
F) All of the above

Question 11

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.E) A) and B)
F) B) and D)

Question 12

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

Accepted Answer

A)   protein.
B)   carbohydrates.
C)   fat.
D)   specially developed formulas.E) All of the above
F) A) and B) B

Question 13

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.E) A) and D)
F) A) and C)

Question 14

An important function of carbohydrates in the postoperative period is to:

Accepted Answer

A)   contribute to tissue repair.
B)   provide a source of vitamins.
C)   spare protein for tissue synthesis.
D)   protect adipose fat reserves.E) B) and C)
F) None of the above

Question 15

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

Accepted Answer

A)   cholecystectomy.
B)   ileostomy.
C)   colostomy.
D)   jejunostomy.E) A) and B)
F) A) and C) C

Question 16

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.E) None of the above
F) B) and C) C

Question 17

For patients in the flow phase of metabolic stress, hyperglycemia should be treated by:

Accepted Answer

A)   administration of normal saline without dextrose.
B)   use of complex carbohydrates.
C)   administration of specialized formulas.
D)   use of exogenous insulin.E) C) and D)
F) B) and D)

Question 18

If more than 50% of the small intestine is removed, patients may develop:

Accepted Answer

A)   dumping syndrome.
B)   an ileostomy.
C)   short-bowel syndrome.
D)   anemia.E) None of the above
F) A) and D)

Question 19

The preferred type of enteral feeding for burn patients is:

Accepted Answer

A)   nasogastric.
B)   gastrostomy.
C)   nasoenteric.
D)   jejunal.E) None of the above
F) B) and D)

Question 20

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.E) A) and C)
F) All of the above

Exam 17: Metabolic Stress

The amount of dextrose in 3 L of 5% dextrose solution is:

Correct AnswerverifiedShow Answer

Food present in the gastrointestinal tract at the time of general surgery will increase the client's risk for:

Correct AnswerverifiedShow Answer

A vitamin that is necessary for formation of scar tissue during the healing process is:

Correct AnswerverifiedShow Answer

Omega-3 fatty acids may be important during periods of metabolic stress because they:

Correct AnswerverifiedShow Answer

The ideal method for estimating energy needs is:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

The recommended diet for most patients with ostomies is:

Correct AnswerverifiedShow Answer

A burn that causes reddening and blistering with cell death in the dermis is classified as a:

Correct AnswerverifiedShow Answer

Postoperatively, intravenous (IV) fluids provide:

Correct AnswerverifiedShow Answer

Nutritional strategies that are helpful for management of dumping syndrome 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 AnswerverifiedB

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

Correct AnswerverifiedShow Answer

An important function of carbohydrates in the postoperative period is to:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedC

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

Correct AnswerverifiedC

For patients in the flow phase of metabolic stress, hyperglycemia should be treated by:

Correct AnswerverifiedShow Answer

If more than 50% of the small intestine is removed, patients may develop:

Correct AnswerverifiedShow Answer

The preferred type of enteral feeding for burn patients is:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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B

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C

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C

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