Episode 19: EN vs. PN, Practice Questions, and Halloween Treats 

This week, Zak talks about when to eat orally, use enteral, or go with parenteral. He pairs these up with some great questions and tells you about some spooky treats. 

1. A 45 y/o female arrives to the hospital with intractable vomiting. She has had poor oral intake and abdominal pain for 1 week. She is found to have a short-bowel obstruction. What would be your FIRST step?

A. Start the patient on an oral diet

B. Place an NG Tube and infuse enteral nutrition

C. Keep the patient NPO for 2 weeks before transitioning to an oral diet  

D. Initiate parenteral nutrition slowly. 

2. A patient with pancreatitis and severe malnutrition reports abdominal pain after eating. What diet would be BEST to initiate?

A. High-Fat Diet

B. Low-Fat Diet

C. NPO. Place an NG and initiate tube feeding 

D. NPO. Place an NJ and initiate tube feeding 

3. A 50 year old female with head and neck cancer will be undergoing radiation therapy affecting her ability to swallow for about 2 months. Which of the following would you recommend for her?

A. Level 7 IDDSI Diet

B. NG Tube for tube feeding

C. PEG tube for enteral nutrition

D. Total Parenteral Nutrition 

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