The nurse is assessing a client for complications associated with ...

[lbcchick]

The nurse is assessing a client for complications associated with parenteral nutrition therapy. The nurse checks for crackles (rales) and weight gain to identify a(n):
 
  1. fluid overload.
  2. pneumothorax.
  3. air embolism.
  4. infection.

Question 2

Amino acids, a component of total parenteral nutrition, are needed by the body to:
 
  Standard Text: Select all that apply.
  1. conserve lean body mass.
  2. serve as a primary source of calories.
  3. act as metabolic cofactors for enzymes.
  4. promote wound healing.
  5. promote the production of proteins.

[IRincones]

Answer to Question 1

Correct Answer: 1
Rationale 1: Fluid overload is associated with dyspnea, distended neck veins, crackles (rales), and weight gain.
Rationale 2: Pneumothorax is associated with sharp chest pain and decreased breath sounds.
Rationale 3: Air embolism is associated with shortness of breath, chest pain, and cyanosis.
Rationale 4: Infection is associated with fever, increased WBC, and positive blood cultures.
Global Rationale: Fluid overload is associated with dyspnea, distended neck veins, crackles (rales), and weight gain. Pneumothorax is associated with sharp chest pain and decreased breath sounds. Air embolism is associated with shortness of breath, chest pain, and cyanosis. Infection is associated with fever, increased WBC, and positive blood cultures.

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: Adequate levels of amino acids conserve lean body mass.
Rationale 2: Carbohydrates and lipids are primary sources of calories in TPN.
Rationale 3: Trace minerals are metabolic cofactors for enzymes.
Rationale 4: Adequate levels of amino acids promote wound healing.
Rationale 5: Amino acids promote the production of proteins.
Global Rationale: Amino acids are needed by the body to promote the production of proteins, to conserve lean body mass, and to help promote wound healing. Carbohydrates and lipids are primary sources of calories in TPN.
Trace minerals are metabolic cofactors for enzymes.

[lbcchick]

Both answers were spot on, thank you once again

[IRincones]

Great! Please up vote