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Author Question: The nurse is caring for a 90-year-old woman who is receiving peripheral parenteral nutrition (PPN). ... (Read 19 times)

tatyanajohnson

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on: Aug 2, 2018
The nurse is caring for a 90-year-old woman who is receiving peripheral parenteral nutrition (PPN). The nurse will know to assess frequently for which of the possible complications of PPN?
 
  A) Phlebitis C) Gingivitis
  B) Refeeding syndrome D) Tube feeding syndrome

Question 2

The amino acid that plays an important role in the gastrointestinal tract during stress is
 
  a. arginine.
  b. glutamine.
  c. methionine.
  d. phenylalanine.


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juiceman1987

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Reply #1 on: Aug 2, 2018
Answer to Question 1

A
Feedback:
PPN may be infused via peripheral or central veins; however, peripheral is not widely used due to the caustic effects of the solution if it is not isotonic. It can lead to phlebitis due to the irritation of the solution on the tissues.

Answer to Question 2

B
During stress, glutamine is mobilized in large quantities from skeletal muscle and lung to be used directly as a fuel source by intestinal cells. Glutamine also plays a significant role in maintaining intestinal immune function and enhancing wound repair by supporting lymphocyte and macro-phage proliferation, hepatic gluconeogenesis, and fibroblast function. Arginine has a role in maintaining immune function in the gastrointestinal tract but is not as critical in stress as gluta-mine. Methionine and phenylalanine do not have specific roles during stress.


tatyanajohnson

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Reply 2 on: Aug 2, 2018
Excellent

Dominic

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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