Exam 21: Parenteral Nutrition Support

Joan Sussman is in her second trimester of pregnancy and has experienced hyperemesis gravidarum (excessive vomiting, possible fluid and electrolyte imbalances)for 14 days. At this point, she is a candidate for ____.

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy. After six weeks of intense nutrition support, her liver enzymes are elevated. The dietitian recommends ____.

How many grams of amino acids would be provided to a client receiving 2,000 mL of a 5 percent amino acid solution?

A client receiving greater than 2000 kcalories per day via parenteral nutrition should ____.

Discuss possible metabolic complications associated with intravenous nutrition and possible corrections of these complications.

To prevent bacterial contamination and maintain stability, parenteral solutions are ____.

What best describes the role of the nurse on the nutrition support team?

Before parenteral nutrition is discontinued, oral intake, tube feeding, or a combination should provide at least what proportion of the estimated energy needs?

What best describes the insertion of a central line for parenteral nutrition?

Liver enzymes should be monitored ____ during parenteral support.

How many kcalories are provided by 3 liters of a 5 percent dextrose solution?

Marc Jejune is a 30-year-old single male who exercises and follows a healthy diet. His physician admits Marc to the medical-surgical unit for evaluation. At his doctor's appointment prior to his admission, he complained of poor appetite, constipation, nausea, and vomiting for 3 days. After surgery, Marc remains on ventilator support but his gut function is improving. The doctor should initiate ____.

What is an advantage of TPN?

Which type of oil most commonly makes up the triglycerides in lipid emulsions?

Refeeding syndrome is characterized by fluid and electrolyte imbalances and ____.

Kristin Sullivan is on long-term parenteral nutrition. This places her at risk for ____.

How often should the fluid intake and output of a patient on TPN be checked?