The nurse is explaining to the student nurse the therapeutic ...

[pepyto]

The nurse is explaining to the student nurse the therapeutic effects of total parenteral nutrition (TPN). Which of the following accurately describes the use of TPN?
 
  A) It is used short term to supply additional calories and nutrients as needed.
  B) It is delivered via the peripheral vein to allow rapid dilution of hypertonic solution.
  C) It is a highly concentrated solution of carbohydrates, electrolytes, vitamins, and minerals.
  D) It is usually used when the child's nutritional status is within acceptable parameters.

Question 2

A child with attention deficit hyperactivity disorder (ADHD) is prescribed methylphenidate hydrochloride (Ritalin). What should the nurse instruct the parents regarding an adverse effect of this medication?
 
  A) Anorexia
  B) Sleepiness
  C) Garbled speech
  D) Rapid increase in height

[tennis14576]

Answer to Question 1

C
Feedback:
TPN is a highly concentrated solution of carbohydrates, electrolytes, vitamins, and minerals. TPN provides all nutrients to meet a child's needs. It is delivered via central venous access to allow rapid dilution of hypertonic solution. It is usually used in a child with a nonfunctioning gastrointestinal (GI) tract, such as a congenital or acquired GI disorder; a child with severe failure to thrive or multisystem trauma or organ involvement; and preterm newborns.

Answer to Question 2

A
Feedback:
An adverse effect of methylphenidate hydrochloride (Ritalin) is anorexia. Sleepiness and garbled speech are not adverse effects of this medication. Children taking this medication can develop growth suppression and not accelerated growth in height.

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