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

Author Question: A patient who has been receiving total parenteral nutrition (TPN) for several days accidently ... (Read 36 times)

CORALGRILL2014

  • Hero Member
  • *****
  • Posts: 525
on: Jul 23, 2018
A patient who has been receiving total parenteral nutrition (TPN) for several days accidently removes the intravenous (IV) line. While waiting for the IV therapy nurse, the nurse caring for this patient will monitor for which complication?
 
  a. Air embolism
  b. Dehydration
  c. Hypoglycemia
  d. Infection

Question 2

The nurse is preparing to discontinue total parenteral nutrition (TPN) therapy for a patient who has been receiving TPN for several days. The nurse will contact the provider to discuss an order for
 
  a. antibiotics.
  b. intravenous insulin.
  c. isotonic dextrose.
  d. nasogastric feedings.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jordangronback

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Sudden interruption of TPN therapy can lead to hypoglycemia because of the sudden drop in glucose and the patient's continued increased insulin levels. Air embolism is a complication associated with changing TPN bags. Dehydration is not a complication of a sudden interruption of TPN. Infection is an ongoing concern, but the risk does not increase with a sudden interruption of TPN.

Answer to Question 2

ANS: C
Abruptly discontinuing TPN can lead to hypoglycemia. Patients should receive an isotonic dextrose solution for 12 to 24 hours after TPN is discontinued to prevent this reaction. Antibiotics are used when signs of infection are observed. Intravenous insulin would compound hypoglycemia. Nasogastric feedings are indicated if the patient needs continued feeding therapy and has an intact GI tract.


CORALGRILL2014

  • Member
  • Posts: 525
Reply 2 on: Jul 23, 2018
Excellent

Jsherida

  • Member
  • Posts: 314
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Drying your hands with a paper towel will reduce the bacterial count on your hands by 45–60%.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

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?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
The liver in this photograph was from a deceased patient with an advanced state of cirrhosis. The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Patient teaching: hair and scalp assessment Patient teaching: hair and scalp assessment
The medical assistant often has to reassure and comfort the patient before effective communication c The medical assistant often has to reassure and comfort the patient before effective communication c
Tumor marker analysis of a patient with no evidence of disease monitored for tumor recurrence. The ... Tumor marker analysis of a patient with no evidence of disease monitored for tumor recurrence. The ...
Total parenteral nutrition through a catheter in the right subclavian Total parenteral nutrition through a catheter in the right subclavian
Video: Phases of the ovarian cycle

For a complete list of videos, visit our video library