Exam 32: Parenteral Nutrition

The nurse is caring for a patient who is receiving PN.As part of therapy, the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?

A patient on PN has gained 4 lbs over a 24-hour period.Given this weight gain, which interpretation by the nurse is most accurate?

If PN must be discontinued suddenly, hang __________ in water at the same infusion rate to prevent hypoglycemia.

A patient had surgery 1 week ago, has not been eating his meals, and states that he has no appetite.The nurse assesses that the patient has been progressively losing weight.Which intervention has the highest priority?

The patient has been ordered to receive parenteral nutrition but will require the nutritional therapy to continue for several months.Which route is most important for the nurse to consider?

The patient will be going home on PN.The patient and his family education will need to perform which of the following care steps? (Select all that apply.)

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

To detect a common untoward effect of interrupting a PN infusion, the nurse should assess the patient for development of which symptom?

The nurse is managing the care of a patient receiving PN.Which assessment finding indicates potential septicemia?

The patient has been receiving PN but has not been given lipid emulsion therapy.The nurse notices that the patient is developing dry, scaly skin, his wound is healing more slowly than expected, and he is anemic.Which condition should the nurse anticipate as a potential problem?

The nurse is caring for a patient who is receiving parenteral nutrition (PN).The nurse realizes that PN is associated with which of the following risks? (Select all that apply.)

A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.Which intervention should the nurse include in the plan of care to deliver nutritional needs?

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.Which assessment finding warrants immediate intervention by the nurse?

Which assessment should a nurse expect to see for a patient receiving PN?

During IV administration of fat ( lipid ) emulsions, the patient voices complaints.Which complaint indicates to the nurse that the patient is experiencing a complication associated with the administration?

The nurse is caring for a patient receiving PN.In planning the patient's care for the day, which nursing assessment is most essential?