Author Question: The nurse is preparing to hang a new bag for a patient who is receiving total parenteral nutrition ... (Read 43 times)

B · **on:** Jul 23, 2018

The nurse is preparing to hang a new bag for a patient who is receiving total parenteral nutrition (TPN). During this procedure, the nurse will instruct the patient to take a deep breath and then perform which action?

a. Exhale slowly and bear down.
b. Exhale slowly to the count of 10.
c. Hold the breath and bear down.
d. Take several rapid, shallow breaths.

Question 2

The nurse is caring for a patient who is receiving total parenteral nutrition (TPN). The nurse will carefully monitor this patient for which symptom(s)?

a. Coughing and shortness of breath
b. Decreased breath sounds
c. Diarrhea
d. Nausea and abdominal distension

xoxo123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Valsalva's maneuver is performed by taking a breath, holding it, and bearing down. Patients are instructed to perform this maneuver in order to prevent the formation of air emboli.

Answer to Question 2

ANS: A
TPN with IV therapy is prone to air embolism. Symptoms of air embolism are coughing and dyspnea. Decreased breath sounds occur with aspiration, which is a complication of nasogastric feedings. Diarrhea, nausea, and abdominal distension occur with nasogastric feedings.