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Chapter 8. Nutrition, Fluid, and Electrolytes
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Disadvantages of TPN include all of the following, except
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A. Difficulty attaining nutritional requirements because of fluid overload
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B. Major infection or sepsis
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C. Small bowel obstruction or paralytic ileus
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D. Cholelithiasis, liver dysfunction, and gastrointestinal tract atrophy
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E. Central venous access if required
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What is the recommended daily energy intake and protein intake for head and neck squamous cell carcinoma (HNSCC) patients undergoing surgery or chemoradiation therapy?
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A. 30 kcal/kg/d and 1.02 g protein/kg/d
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B. 1.2 kcal/kg/d and 30 g protein/kg/d
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C. 10 kcal/kg/d and 1.2 g protein/kg/d
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D. 30 kcal/kg/d and 1.20 g protein/kg/d
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How does cancer cachexia differ from starvation?
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A. There is decreased protein breakdown.
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B. Refeeding enterically or by TPN replenishes some body mass and increases survival outcomes.
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C. Refeeding by any mean replenishes some body mass and increases survival outcomes.
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D. There is approximately equal loss of muscle and fat.
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E. Metabolism shifts are characterized by a slow catabolic mode to minimize energy expenditure.
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Which of the following is the most important test to review when addressing hyperkalemia greater than 6.5mEq?
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What are the indications for TPN?
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A. Nonfunctioning of GI tract
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B. Severe protein malnutrition with loss of normal gastrointestinal (GI) function
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C. Chyle leak after neck dissection
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