This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Which patient is most likely to be a candidate for total parenteral nutrition (TPN) rather than ... (Read 37 times)

mspears3

  • Hero Member
  • *****
  • Posts: 586
on: Jul 23, 2018
Which patient is most likely to be a candidate for total parenteral nutrition (TPN) rather than enteral nutrition?
 
  a. A patient who is comatose after having had a stroke
  b. A patient who has a fractured mandible following a motor vehicle accident
  c. A patient who has cerebral palsy and severe dysphagia
  d. A patient who is pregnant and has intractable hyperemesis gravidarum

Question 2

The nurse is preparing to administer an enteral feeding to a patient who receives 300 mL of Isocal over 30 minutes every 4 hours. The nurse checks the residual prior to initiating the feeding and notes a residual amount of 50 mL of formula.
 
  Which action will the nurse take next?
  a. Administer the feeding as ordered.
  b. Administer the feeding over 60 minutes.
  c. Hold the feeding and notify the patient's provider.
  d. Wait 1 hour and recheck the residual again.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

sarahccccc

  • Sr. Member
  • ****
  • Posts: 318
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
The patient who is vomiting will be unable to tolerate enteral nutrition. Enteral feedings require a functioning gastrointestinal tract. TPN is more costly and does not carry significant benefits when compared with risks, so it should only be used when enteral nutrition cannot be used.

Answer to Question 2

ANS: A
The nurse should determine gastric residual before each feeding when patients are receiving intermittent feedings. A residual greater than 50 of a previous feeding indicates delayed gastric emptying and warrants notifying the provider. This patient has a residual less than 50, so the nurse may proceed with the next feeding. A residual of 50 mL is significant in patients receiving continuous enteral feedings. The nurse cannot change the rate of an enteral infusion without an order from the provider.


mspears3

  • Member
  • Posts: 586
Reply 2 on: Jul 23, 2018
Excellent

raenoj

  • Member
  • Posts: 340
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

Did you know?

Elderly adults are at greatest risk of stroke and myocardial infarction and have the most to gain from prophylaxis. Patients ages 60 to 80 years with blood pressures above 160/90 mm Hg should benefit from antihypertensive treatment.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Signs and symptoms of a patient with heart failure. Signs and symptoms of a patient with heart failure.
(A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th (A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th
Building competency in patient centered care Building competency in patient centered care
Patient health history form. Patient health history form.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
Video: Hypoglycemia Animation

For a complete list of videos, visit our video library