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Short Case Study Elena Hayes Is a 64-Year-Old Realtor. She Has Been Admitted

Question 32

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Short Case Study
Elena Hayes is a 64-year-old realtor. She has been admitted to the local medical center six times in the past 3 months with severe pancreatitis. Elena has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a subacute nursing facility for therapy.
-Upon admission, Elena tells her nurse that she has a lot of fear with regard to nutrition support because she experienced a "vein blowout" at a previous admission. What is the most likely cause of this incident?


A) high glucose in the TPN
B) low amino acids in the TPN
C) low vitamin K in the PPN
D) high osmolarity of the PPN

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