NR228 ROK for Final exam 

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