Exam 32: Parenteral Nutrition

Which measurement would a nurse expect to see for a client receiving PN?

A patient with linoleic acid deficiency is _______________ and thus at risk for infection.

The nurse is preparing a bag of PN solution for administration and notices a thin layer of fat droplets.What should she do?

The nurse has been caring for a patient who has had a central venous catheter in place.The patient complains of sudden chest pain and difficulty breathing.The nurse notices the absence of breath sounds in the lower right base.The nurse notifies the physician immediately,suspecting which of the following conditions?

The nurse is caring for a patient receiving PN.In planning the patient's care for the day,the nurse focuses on which of the following? (Select all that apply.)

Examples of central venous access devices include: (Select all that apply.)

For patients receiving PN,___________ provide supplemental kilocalories and prevent essential fatty acid deficiencies.

The patient will be going home on PN.Patient and family education should include information about the effects of home parenteral nutrition (HPN)on quality of life (QOL).Which of the following are issues identified with HPN? (Select all that apply.)

The patient has been receiving a solution of 5% dextrose intravenously but will require long-term therapy with dextrose solutions greater than 10%.What will be required to provide this nutrition to the patient?

The nurse is caring for a patient who is receiving parenteral nutrition (PN).The nurse realizes that PN is associated with: (Select all that apply.)

When administering fat (lipid)emulsions via piggyback infusion,what should the nurse be sure to do?

The patient is in the hospital with a diagnosis of intestinal failure.What type of nutrition would this patient require?

_________________ is a specialized form of nutritional support given to patients who need nutrients that are given intravenously.

The essential fatty acid that cannot be made from other fats in human metabolism and therefore must be supplied is known as ______________.

PPN is difficult to maintain because of frequent episodes of phlebitis in superficial arm veins and infiltrations of solutions into subcutaneous tissue.Therefore the final dextrose concentration must be no greater than _____,because the peripheral vein will sclerose at higher concentrations.

The nurse is aware that a sudden disruption of PN therapy may lead the client to experience:

The patient had surgery 1 week earlier and has not been eating his meals and states that he has no appetite.The nurse notices that the patient has been progressively losing weight.What should the nurse do?

The patient is to receive lipid therapy and peripheral parenteral nutrition (PPN).The nurse should be sure that:

The nurse is caring for a patient who is receiving PN.As part of the patient's therapy,the patient receives routine bedside glucose monitoring.Why is this done?

The patient has been receiving PN but has not had any lipid emulsion therapy.The nurse notices that the patient is developing dry,scaly skin,and his wound is healing more slowly than expected.The patient is also anemic.What does the nurse suspect the patient is experiencing?