Nutrition Basics
Tube Feeding & TPN
Bowel Elimination
Lab & Assessment
NCLEX Clinical Judgment
100

This macronutrient is responsible for tissue repair and is reflected by albumin levels.

Protein

100

The head of the bed should be elevated at least this many degrees during tube feeding.

30-45 degrees

100

Normal bowel frequency can range from this many times per day to this many times per week.

 3 times per day to 3 times per week

100

This lab value is used to assess long-term protein status.

Albumin

100

Priority intervention for a patient choking during tube feeding.

Stop the feeding

200

A patient with low vitamin K is at risk for this complication.

Bleeding

200

The most serious complication of enteral feeding is this.

Aspiration

200

Opioid medications commonly cause this bowel problem.

Constipation

200

A patient with diarrhea is at risk for imbalance in this major electrolyte

Potassium

200

Priority teaching for a patient with chronic constipation.

Increase fiber and fluids

300

This vitamin is essential for calcium absorption and bone health.

Vitamin D

300

TPN requires this type of IV access due to high glucose concentration.

Central Line

300

Black, tarry stool indicates bleeding from this part of the GI tract.

Upper GI Tract

300

This assessment finding suggests fecal impaction: liquid stool leaking around hard stool.

oozing liquid stool

300

Priority assessment for a patient receiving TPN.

Blood glucose monitoring

400

A patient with edema and poor wound healing likely has a deficiency in this nutrient.

protein

400

Stopping TPN abruptly can cause this dangerous metabolic effect

Hypoglycemia

400

The correct position for administering an enema.

Left sims

400

Sudden weight gain of 3 pounds in 24 hours may indicate this.

Fluid Retention

400

A patient with C. diff diarrhea requires this type of isolation.

Contact Precautions

500

A patient consuming mostly simple carbohydrates is at risk for this metabolic imbalance.

Hyperglycemia

500

A coughing patient with decreased oxygen saturation during feeding is showing signs of this complication.

Aspiration

500

A stoma that appears pale, dusky, or black indicates this urgent complication.

impaired blood supply (ischemia/necrosis)

500

A tube feeding residual that is abnormally high may indicate this problem.

 delayed gastric emptying or intolerance

500

A cardiac patient should avoid straining during bowel movements because it can cause this dangerous reflex.

vagal stimulation (leading to bradycardia)