TPN questions and answers, 100% verified. Questions and answers. 2022/2023.
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TPN questions and answers, 100% verified. Questions and answers. 2022/2023.
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TPN questions and answers, 100% verified. Questions and answers. 2022/2023. A nurse is reviewing the medical record for a client with a nursing diagnosis of Altered nutrition: Less t...
100 verified questions and answers 20222023 a nurse is reviewing the medical record for a cl
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TPN questions and answers, 100%
verified. Questions and answers.
2022/2023.
A nurse is reviewing the medical record for a client with a nursing diagnosis of Altered nutrition: Less
than body requirements. Which assessment data is the best indicator for continued need of additional
nutritional support?
A Intake and output
B Calorie count
C Serum electrolytes
D Trace element levels - ✔✔B
The best indicator of whether a client is taking in adequate oral nourishment following TPN is a calorie
count. This gives an idea of the total calories consumed and the distribution of the client's diet in terms
of protein, fat, and carbohydrate. Intake and output is useful as a measure of fluid balance, and the
laboratory studies previously identified give an indication of electrolyte balance.
A physician orders parenteral proteins for a client who is emaciated. A nurse orders the proteins from
the pharmacy knowing that parenteral proteins are supplied as:
A synthetic crystalline amino acids.
B casein amino acids.
C immunoglobulins.
D albumin. - ✔✔A
, Protein is a body-building nutrient that promotes tissue growth, repair, and the replacement of body
cells. Parenteral proteins are elemental, providing a synthetic crystalline amino acid that does not cause
an antigenic reaction.
A physician orders a total nutrient admixture (TNA) solution for a client diagnosed with severe anorexia
nervosa. A nurse administers the solution knowing that TNA consists of a combination of:
A platelets, plasma, and white blood cells
B fats, carbohydrates, and proteins.
C fats, electrolytes, and trace elements
D carbohydrates, proteins, and heparin. - ✔✔B
TNA are systems that hold combinations of dextrose, amino acids, and fat emulsions in one container. It
is also referred to as all-in-one or three-in-one.
A nurse is instructed to add heparin to a client's TPN per a physician's order. What is the purpose of
adding heparin to a TPN solution?
A To enhance blood glucose levels
B To thin the TPN solution so that it easily infuses
C To decrease the incidence of subclavian vein thrombosis
D To prevent gastric ulcers - ✔✔C
Heparin doses of 100 to 300 units/L have been ordered to decrease the incidence of subclavian vein
thrombosis.
A clinical nurse specialist is conducting an in-service for critical-care nurses regarding the administration
of cyclic TPN. Which key point should be included in the in-service?
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