The nurse is planning care for a client who receives total ...

[DyllonKazuo]

The nurse is planning care for a client who receives total parenteral nutrition. What will the best plan by the nurse include?
 
  1. Check the feeding tube for residual prior to initiating feedings.
  2. Remove the solution from the refrigerator 30 minutes prior to hanging.
  3. Withhold oral medications while the total parenteral nutrition (TPN) is hanging.
  4. Maintain a dedicated percutaneous endoscopic gastrostomy (PEG) tube for the solution.

Question 2

Which clinical conditions would the nurse most likely associate with a client who has a documented history of alcoholism?
 
  1. Pernicious anemia
  2. Thiamine deficiency
  3. Scurvy
  4. Vitamin A deficiency
  5. Pellagra

[kjohnson]

Answer to Question 1

Correct Answer: 2
Rationale 1: Checking the tube for residual is done with enteral feedings, not parenteral feedings.
Rationale 2: A cold infusion could cause irritation to the intravenous (IV) site.
Rationale 3: The client can continue to receive oral medications while total parenteral nutrition (TPN) is infusing.
Rationale 4: Parenteral infusions are done through an intravenous (IV) line, not a percutaneous endoscopic gastrostomy (PEG) tube.

Answer to Question 2

Correct Answer: 2,3,4,5
Rationale 1: Pernicious anemia is associated with an inability to produce vitamin B12, not alcoholism.
Rationale 2: Thiamine deficiency is commonly seen in alcoholic clients.
Rationale 3: Alcoholics are among those at highest risk for vitamin C deficiency or scurvy.
Rationale 4: Vitamin A deficiency is caused by prolonged dietary deprivation that may occur in alcoholism.
Rationale 5: Pellagra is a niacin deficiency that is commonly seen in alcoholic clients.

[DyllonKazuo]

Thank you!

[kjohnson]

Always glad to help...