Critical Care Nutrition for Nurses

The decision to use one type of feeding tube over another is based on:

The need to circumvent certain segments of the gastrointestinal tract

The patient’s ability to withstand anesthesia

The anticipated duration of nutritional support

All of the above

In diseased states, the inflammatory response triggers alterations in

A) Cytokines

B) Hormone concentrations

C) A & B

D) None of the above

In diseased states, the inflammatory response shifts metabolism toward a catabolic state.

True

False

Malnutrition in ill patients leads to all but one of the following in the GI tract?

transit times decrease

absorptive capabilities decrease

villous atrophy

increased risk of bacterial translocation

_______ malnutrition may alter the normal or expected metabolism of certain drugs, which may increase or decrease their therapeutic effect even when given at recommended dosages.

Carbohydrate

Protein

Fat

Fiber

Evidence suggests initiating nutritional support within ____ days (at most) of the patient not eating.

2

3

5

10

In the small intestine, enterocytes utilize ____________ preferentially as their source of metabolic fuel.

Butyrate

Short chain fatty acid

Lumenal glutamine

None of the above

Force feeding sick, hospitalized animals is not ideal and is the best way to create food aversions.

True

False

Which of the following is the method of choice if enteral assisted feeding is necessary for more than two days?

IV parenteral nutrition

Force or syringe feeding

Indwelling feeding tube

Bowl feeding

The gastrointestinal tract is lined with cells called ___________, which aid in digestion, absorption, and transportation of nutrients into the body.

colonocytes

enterocytes

tricytes

monocytes

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Critical Care Nutrition for Nurses