Of the following for which patient would you suggest oral or enteral feedings?
A patient who has been NPO for 36 hours
A patient with a Gl obstruction
A patient who is severely dehydrate
A patient experiencing intractable vomiting
The Correct Answer is A
A. A patient who has been NPO for 36 hours: Patients who are temporarily unable to eat but have a functional gastrointestinal tract may safely resume oral or enteral feedings. Providing nutrition supports energy needs, prevents catabolism, and maintains gut integrity.
B. A patient with a GI obstruction: Enteral or oral feedings are contraindicated in gastrointestinal obstruction, as this can worsen distention, vomiting, or perforation. Alternative nutrition such as parenteral feeding may be required.
C. A patient who is severely dehydrated: Severe dehydration requires fluid resuscitation before initiating oral or enteral nutrition. Attempting feedings without correcting volume deficits can lead to hypotension, electrolyte imbalances, and poor absorption.
D. A patient experiencing intractable vomiting: Persistent vomiting prevents adequate nutrient absorption and increases the risk of aspiration. Enteral or oral feedings are not appropriate until vomiting is controlled and the patient can tolerate intake safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mechanical diet: Mechanical diets modify the texture of foods for patients with chewing difficulties, but they still require oral intake and do not bypass the gastrointestinal tract. They are not suitable for patients unable to eat entirely.
B. Soft food diet: Soft diets consist of easily chewed foods, helpful for mild swallowing or dental issues, but they still rely on oral consumption. They do not provide nutrition for patients who cannot eat by mouth.
C. Pureed diet: Pureed diets are made for patients with dysphagia or difficulty chewing, transforming foods into a smooth consistency. While easier to swallow, they still depend on oral intake and cannot fully substitute when oral feeding is impossible.
D. Enteral feeding: Enteral nutrition delivers nutrients directly into the gastrointestinal tract via tubes (e.g., nasogastric, gastrostomy) for patients unable to eat or swallow safely. It provides complete nutritional support while maintaining gut integrity and function.
Correct Answer is C
Explanation
Calculation:
Total Volume: 160 mL
Infusion Time: 1 hour (60 minutes)
Drop Factor: 15 gtt/mL
- Calculate the infusion rate in gtt/min
Infusion Rate (gtt/min) = (Total Volume × Drop Factor) ÷ Time (min)
Infusion Rate = (160 × 15) ÷ 60
Infusion Rate = 2,400 ÷ 60
Infusion Rate = 40 gtt/min
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