Exam 21: Parenteral Nutrition Support

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Match each word or phrase with the most appropriate definition or explanation.
Premises:
parenteral solution that contains dextrose and amino acids, and excludes lipids
Responses:
peripheral veins
living will
osmolality
Correct Answer:
Verified
Premises:
Responses:
parenteral solution that contains dextrose and amino acids, and excludes lipids
peripheral veins
(Matching)
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A 3-in-1 solution that contains amino acids, lipids, and dextrose is also called a ____.

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
large-diameter veins close to the heart
Responses:
advance directive
peripheral parenteral nutrition
osmolality
Correct Answer:
Verified
Premises:
Responses:
large-diameter veins close to the heart
advance directive
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Parenteral nutrition would most likely be contraindicated in which condition?

(Multiple Choice)
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The administration of a second solution using a separate port is called a ____.

(Multiple Choice)
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When refrigerated, ready-made parenteral solutions may be stable for ____.

(Multiple Choice)
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The protein in a TPN solution is primarily in the form of ____.

(Multiple Choice)
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Discuss the use of carbohydrates in parenteral nutrition.

(Essay)
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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. Upon admission, Julia tells her nurse that she has a lot of fear in regards to nutrition support due to a "vein blowout" at a previous admission. What is the most likely cause of this incident?

(Multiple Choice)
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Which type of parenteral nutrition is provided at night so patients can participate in routine activities during the day?

(Multiple Choice)
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Traditionally, central catheters enter the circulation at the ____ vein and are threaded into the superior vena cava with the tip of the catheter lying close to the heart.

(Multiple Choice)
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The benefits of cyclic infusion of TPN include ____.

(Multiple Choice)
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A patient should be fully informed of a treatment's benefits and risks in a fair and honest manner. If the patient agrees to the proposed treatment, it is referred to as ____.

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
small-diameter veins that carry blood from the arms and legs
Responses:
piggyback
living will
osmolarity
Correct Answer:
Verified
Premises:
Responses:
small-diameter veins that carry blood from the arms and legs
piggyback
(Matching)
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A physician writes an order for Mrs. Wilson to receive parenteral lipids twice a week. The purpose of this order is to ____.

(Multiple Choice)
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Which form of glucose is available in parenteral solutions?

(Multiple Choice)
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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. Upon admission, what diet is most appropriate for Marc until he receives further testing?

(Multiple Choice)
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The large-diameter central veins are located near the ____.

(Multiple Choice)
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To prevent phlebitis, the osmolarity of parenteral solutions used for PPN is generally kept below ____ milliosmoles per liter.

(Multiple Choice)
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Which vitamin is omitted from parenteral solutions designed for patients on warfarin therapy?

(Multiple Choice)
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