TPN Qs

A nurse must provide total parenteral nutrition (TPN) to a client through a triple-lumen central line. To prevent complications of TPN, the nurse should: A) cover the catheter insertion site with an occlusive dressing B) use clean technique when changing the dressing. C) insert an indwelling urinary catheter. D) keep the client on complete bed rest.

A) cover the catheter insertion site with an occlusive dressing

Total parenteral nutrition (TPN) is prescribed for a client who has recently had a small and large bowel resection and who is currently not taking anything by mouth. What should the nurse do to safely administer the TPN? A) Administer TPN through a nasogastric or gastrostomy tube. B) Handle TPN using strict aseptic technique C) Auscultate for bowel sounds prior to administering TPN. D) Designate a peripheral IV site for TPN administration.

B) Handle TPN using strict aseptic technique

A client with pancreatitis has been receiving total parenteral nutrition (TPN) for the past week. Which nursing intervention best determines the TPN is providing adequate nutrition? A) monitoring blood glucose levels every 6 hours B) evaluating serum electrolyte levels daily C) monitoring the client's weight every day D) recording fluid intake and output

C) monitoring the client's weight every day

A client has been receiving total parenteral nutrition (TPN) for the last 5 days. Before discontinuing the infusion, the infusion rate is slowed. What complication of TPN infusion should the nurse assess the client for as the infusion is discontinued? A) essential fatty acid deficiency B) dehydration C) rebound hypoglycemia D) malnutrition

C) rebound hypoglycemia

Clients who are receiving parenteral nutrition (PN) are at risk for development of which complication? A) hypostatic pneumonia B) pulmonary hypertension C) orthostatic hypotension D) fluid imbalances

D) fluid imbalances

A client is receiving total parenteral nutrition (TPN), and the nurse is concerned about the complication of fluid volume overload. Which nursing action is most appropriate in the administration of TPN to prevent this complication? A) Use an infusion pump to administer the TPN solution. ·B) Weigh the client every day C) Reduce the ordered flow rate by half. D) Continuously monitor the infusion rate.

·B) Weigh the client every day

A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which finding suggests that the client has developed hyperglycemia? A) Cheyne-Stokes respirations B) increased urine output C) decreased appetite D) diaphoresis

B) increased urine output