Parenteral Nutrition Administration Quiz

A microliter filter is required to prevent particulate contamination when administering solutions such as diluted juice.

Patients should be evaluated for allergies to soybeans, safflower, or eggs.

PN should be discontinued as soon as the patient can obtain 60% or more of their caloric requirements from enteral intake.

<p>Discontinuation of PN should be done gradually to avoid rebound hypoglycemia.</p> Signup and view all the answers

<p>The initial form of oral nutrition usually consists of clear liquids that are low in fat.</p> Signup and view all the answers

<p>Important monitoring parameters include I&amp;O, daily weights, vital signs, and pertinent laboratory values.</p> Signup and view all the answers

<p>Dietary adjustments may include continuing PN infusion until the client can adequately consume calories orally.</p> Signup and view all the answers

<p>A potential complication of stopping PN abruptly is rebound hypoglycemia.</p> Signup and view all the answers

<p>Administer 20% dextrose in water IV until the next bag is available.</p> Signup and view all the answers

<p>Monitoring for hyperglycemia is crucial because high glucose levels can occur due to the high carbohydrate content in TPN solutions.</p> Signup and view all the answers

<p>Slow the infusion rate of the current bag until the TPN solution is available.</p> Signup and view all the answers

<p>Monitor for increased urination and elevated blood glucose levels.</p> Signup and view all the answers

<p>Use aseptic technique to prevent infection during access.</p> Signup and view all the answers

<p>The common concentrations of lipids available are 10%, 20%, and 30%.</p> Signup and view all the answers

<p>A micron filter is used to remove potential contaminants in the TPN solution.</p> Signup and view all the answers

<p>IV lipids are formulated from a combination of soybean oil, safflower oil, and egg phospholipids.</p> Signup and view all the answers

<p>Prealbumin levels help in assessing nutritional status over a short period.</p> Signup and view all the answers

<p>Intravenous lipids are contraindicated in severe hyperlipidemia, severe hepatic disease, or allergies to soybean oil, eggs, or safflower oil.</p> Signup and view all the answers

<p>An IV infusion pump regulates the flow of TPN and ensures accurate delivery.</p> Signup and view all the answers

<p>Lipid emulsion provides necessary calories without increasing the osmolality of the PN solution.</p> Signup and view all the answers

<p>Total nutrient admixtures are solutions that combine lipids with dextrose and amino acids in parenteral nutrition.</p> Signup and view all the answers

<p>Three-in-one infusions reduce body carbon dioxide production and minimize fat buildup in the liver.</p> Signup and view all the answers

<p>TPN provides a nutritionally complete solution, while PPN is used when the patient has less severe nutritional needs.</p> Signup and view all the answers

<p>Dextrose concentrations may need to be reduced due to fluid restrictions or persistent hyperglycemia.</p> Signup and view all the answers

<p>Every 24 hours or per facility protocol.</p> Signup and view all the answers

<p>To manage hyperglycemia that may occur due to the high carbohydrate content of TPN.</p> Signup and view all the answers

<p>Safflower and/or soybean oils and egg phospholipid.</p> Signup and view all the answers

<p>It provides additional calories without increasing the osmolality of the PN solution.</p> Signup and view all the answers

<p>The nurse should inform the provider and anticipate adjustments in the concentration or rate of lipid emulsion.</p> Signup and view all the answers

<p>To detect and manage both hyperglycemia and hypoglycemia.</p> Signup and view all the answers

<p>The occurrence of hypoglycemia and low blood glucose readings.</p> Signup and view all the answers

<p>They provide concentrated energy and prevent essential fatty acid deficiency.</p> Signup and view all the answers

<p>TPN primarily consists of carbohydrates, proteins, fats, vitamins, and minerals.</p> Signup and view all the answers

<p>Nurses can monitor for signs of infection, fluid overload, and electrolyte imbalances.</p> Signup and view all the answers

<p>Monitoring blood glucose is crucial to prevent hyperglycemia and hypoglycemia due to high carbohydrate content in TPN.</p> Signup and view all the answers

<p>The nurse should notify the healthcare provider and consider adjusting the TPN infusion rate or insulin administration.</p> Signup and view all the answers

<p>Patient education helps clients understand their nutritional needs and the purpose of TPN, promoting adherence to therapy.</p> Signup and view all the answers