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NR228 ROK for Final examÂ
1. The nurse is caring for a post liver transplant client? What nutritional considerations
would there be for the client?
-Total parenteral nutrition or tube feeding may be necessary
-Nutrition is not a concern because the client is overweight
-Fats and carbohydrates are not a concern long term after transplant
-A dietary consult would not be necessary for the client
2. The nurse is caring for a client who has been in a 2nd story fall with multiple broken
bones and head trauma. The client is on enteral feeding at 50ml/hr and a water bolus of
100ml every 4hrs. What nursing interventions would be appropriate for this client?
Select all that apply
-Head of bed elevated 45 degrees
- turn client on life side
-monitor intake and output
-give additional water bolus as needed
-check gastric residual
-blood glucose monitoring
3. The nutritionist asks the new oncology nurse what is the increase in percentage of
energy/ nutrients needed when a patient has an infection?
-Greater than 20%
-15-20%
-5-10%
-10-15%
4. The GI tract not only is responsible for digestion and absorption of nutrients it also
does the following: Select all that apply.
-Can go weeks without food
- replaces electrolytes to the body
-prevents bacterial imbalance
-starts shutting down to stress response
-protects immunity
-Protects the host from harmful bacteria
5. The nurse is discussing fluid restriction with a client with cirrhosis. The nurse realizes
that the client needs further teaching when the client states?
-Im limited as to what I can drink and eat due to the fluid building in my abdomen
-I can only drink 1200ml of fluid a day but I can have all the jello I want
- Ice cream, pudding and milk are considerate fluids as well
-I should only drink the fluids on my tray and avoid all other fluids
6.The nurse is caring for a client with acute hepatitis B. The nurse knows what oral
feeding would be appropriate for this client.
-NGT feedings that are high in fiber and calories
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