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Chapter 8. Nutrition, Fluid, and Electrolytes

Disadvantages of TPN include all of the following, except

A. Difficulty attaining nutritional requirements because of fluid overload

B. Major infection or sepsis

C. Small bowel obstruction or paralytic ileus

D. Cholelithiasis, liver dysfunction, and gastrointestinal tract atrophy

E. Central venous access if required

What is the recommended daily energy intake and protein intake for head and neck squamous cell carcinoma (HNSCC) patients undergoing surgery or chemoradiation therapy?

A. 30 kcal/kg/d and 1.02 g protein/kg/d

B. 1.2 kcal/kg/d and 30 g protein/kg/d

C. 10 kcal/kg/d and 1.2 g protein/kg/d

D. 30 kcal/kg/d and 1.20 g protein/kg/d

How does cancer cachexia differ from starvation?

A. There is decreased protein breakdown.

B. Refeeding enterically or by TPN replenishes some body mass and increases survival outcomes.

C. Refeeding by any mean replenishes some body mass and increases survival outcomes.

D. There is approximately equal loss of muscle and fat.

E. Metabolism shifts are characterized by a slow catabolic mode to minimize energy expenditure.

Which of the following is the most important test to review when addressing hyperkalemia greater than 6.5mEq?

A. Myoglobin



D. Creatinine

What are the indications for TPN?

A. Nonfunctioning of GI tract

B. Severe protein malnutrition with loss of normal gastrointestinal (GI) function

C. Chyle leak after neck dissection

D. All of the above

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