Author Question: A patient's 2: 1 parenteral nutrition container infuses before the pharmacy prepares the next ... (Read 11 times)

RYAN BANYAN · **on:** Jul 23, 2018

A patient's 2:

1 parenteral nutrition container infuses before the pharmacy prepares the next container. This places the patient at risk for which complication?
a. Sepsis
b. Pneumothorax
c. Hypoglycemia
d. Thrombophlebitis

Question 2

The nurse notices that a patient has spoon-shaped, brittle nails. This suggests that the patient is experiencing Imbalanced Nutrition:

Less Than Body Requirements related to deficiency of which of the following nutrients?
a. Iron
b. Vitamin A
c. Protein
d. Vitamin C

kingdude89 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Because of the high glucose content of 2:1 parenteral nutrition, any interruption in therapy places the patient at risk for hypoglycemia. A PN of this type should not be discontinued abruptly, but rather over several (as many as 48) hours to prevent a sudden drop in blood sugar. Hypoglycemia is unlikely to occur with a 3:1 solution (containing lipids), as the final concentration of glucose is less than 10. Sepsis is a complication that can occur if a break in aseptic technique occurs during therapy. Pneumothorax can occur as a result of central venous catheter insertion. Central venous catheters are typically employed for parenteral nutrition. Thrombophlebitis is a complication of central venous catheter use.

Answer to Question 2

A
Patients with iron deficiency may have spoon-shaped, brittle nails. Other abnormal nail findings include dull nails with transverse ridge (protein deficiency); pale, poor blanching, or mottled nails (vitamin A or C deficiency); splinter hemorrhages (vitamin C deficiency); and bruising or bleeding beneath nails (protein or caloric deficiency).