Total Parenteral Nutrition: Indications and Monitoring
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Questions and Answers

What is the primary purpose of monitoring urine output in response to diuretic therapy?

  • To assess for edema
  • To monitor for dehydration
  • To evaluate the response to diuretics (correct)
  • To measure the overall fluid intake

What is the risk of giving diuretics to patients with fluid volume excess?

  • Decreased urine output
  • Dehydration due to shifting of fluid (correct)
  • Increased edema
  • Hypertension

Why may medications need to be given intravenously in the home or outpatient setting?

  • To monitor urine output
  • Because fluid volume excess may interfere with oral medication absorption (correct)
  • To assess for edema
  • To treat hypertension

What is a sign of severe edema?

<p>A 4+ pitting edema (B)</p> Signup and view all the answers

What is the primary method of monitoring edema?

<p>Palpating over tibia, ankles, feet, and sacrum (C)</p> Signup and view all the answers

What is the significance of a cloudy white lung field on a chest x-ray?

<p>It indicates interstitial edema (A)</p> Signup and view all the answers

Why is it unrealistic to expect patients to measure each void at home?

<p>Because it is impractical (B)</p> Signup and view all the answers

What is a sign of excessive response to diuretics?

<p>A 2-pound loss in 1 day (A)</p> Signup and view all the answers

What is the purpose of using diaries for home assessment?

<p>To monitor edema (C)</p> Signup and view all the answers

What is the significance of elevated BUN out of proportion to serum creatinine level?

<p>It indicates excessive response to diuretics (D)</p> Signup and view all the answers

How is pitting edema graded?

<p>From trace (barely perceptible) to 4 (severe) (A)</p> Signup and view all the answers

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