Under which of the following circumstances would enteral feeding ...

[ss2343]

Under which of the following circumstances would enteral feeding not be safe?
 
  A. when a patient is taking dopamine
  B. when a patient is receiving corticosteroids
  C. when a patient is receiving IV fluids
  D. when a patient is receiving mechanical ventilation

Question 2

What correlation exists between COPD patients who refuse to eat and have severe nutritional deficits, and COPD patients with severe nutritional depletion who have received a high-calorie diet?
 
  A. Undernourished COPD patients seem to have the same clinical outcomes as those who receive nutritional supplementation.
  B. COPD patients receiving nutrition appear to have better clinical outcomes than severely undernourished COPD patients.
  C. Both groups of patients experience similar clinical outcomes.
  D. Studies to date have yielded inconclusive evidence between these two groups of patients and clinical outcomes.

[mjbamaung]

Answer to Question 1

ANS: A A. Correct response: At times, enteral feeding may not be safe for the gut to absorb luminal nutrients. Such times occur when the patient is hypotensive and receiving pressor agents, such as norepinephrine, dopamine, and dobutamine. Feeding through the enteral route in these circumstances may promote a shift of blood flow to the splanchnic circulation and may provoke further deterioration into shock. Waiting until these patients are no longer taking these medications may be appropriate before enteral feeding is performed.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A.

Answer to Question 2

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Deleterious changes in the respiratory response to nutritional deterioration correlate with adverse effects on patient outcomes. Patients with COPD having severe nutritional deficits experienced more frequent hospitalizations than those who successfully ingested a high-calorie diet.
C Incorrect response: See explanation B.
D. Incorrect response: See explanation B.

[ss2343]

Gracias!

[cpetit11]

Excellent