Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center upon being found unconscious in his car in a parking lot and resuscitated. His history was obtained by contacting his daughter. The patient presents with:
end-stage adenocarcinoma of the gastroestophageal juncture.
chronic malnutrition and significant weight loss 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s.
Ht: 5'8. Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support.
Which type of parenteral feeding administration would be least likely to cause Mr. Edward a liver-related abnormality?
a. cyclic infusion
b. continuous infusion
c. oral feeding
d. total parenteral nutrition
Q. 2Bone is composed largely of calcium, protein, and _____.
a. fat
b. iron
c. vitamin D
d. potassium
e. phosphorus
Q. 3Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center upon being found unconscious in his car in a parking lot and resuscitated. His history was obtained by contacting his daughter. The patient presents with:
end-stage adenocarcinoma of the gastroestophageal juncture.
chronic malnutrition and significant weight loss 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s.
Ht: 5'8. Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support.
To avoid liver impairment associated with parenteral feeding, the nutrition support team will need to avoid which of the following when calculating Mr. Edward's PPN orders?
a. giving the patient excess energy
b. giving the patient excess dextrose
c. giving the patient excess lipids
d. all of the above
Q. 4During peak weight gain, adolescent males gain an average of _____ pounds per year.
a. 5
b. 10
c. 15
d. 20
e. 25
Q. 5Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center upon being found unconscious in his car in a parking lot and resuscitated. His history was obtained by contacting his daughter. The patient presents with:
end-stage adenocarcinoma of the gastroestophageal juncture.
chronic malnutrition and significant weight loss 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s.
Ht: 5'8. Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support.
Which of Mr. Edward's conditions requires that he be kept NPO?
a. history of alcoholism
b. pancreatitis with vomiting
c. malnutrition with wasting
d. end-stage cancer
Q. 6Research by Frisch suggests that _____ percent body fat is required to the development and maintenance of regular ovulatory cycles.
a. 15
b. 18
c. 20
d. 22
e. 25
Q. 7Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center upon being found unconscious in his car in a parking lot and resuscitated. His history was obtained by contacting his daughter. The patient presents with:
end-stage adenocarcinoma of the gastroestophageal juncture.
chronic malnutrition and significant weight loss 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s.
Ht: 5'8. Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support.
Which parenteral infusion complication is Mr. Edward at risk for developing?
a. refeeding syndrome
b. hypoglycemia
c. hypernatremia
d. hypovolemia
Q. 8The NHANWA III found that non-Hispanic Black females and Mexican American females experienced thelarche at _____ years old.
a. 9.0
b. 9.6
c. 10.0
d. 10.6
e. 11.0
Quick Reply
