TPN questions | 2023 with with complete solution

TPN questions | 2023 with with complete solution A nurse is reviewing the medical record for a client with a nursing diagnosis of Altered nutrition: Less than body requirements. Which assessment data is the best indicator for continued need of additional nutritional support? A Intake and output B Calorie count C Serum electrolytes D Trace element levels - B The best indicator of whether a client is taking in adequate oral nourishment following TPN is a calorie count. This gives an idea of the total calories consumed and the distribution of the client's diet in terms of protein, fat, and carbohydrate. Intake and output is useful as a measure of fluid balance, and the laboratory studies previously identified give an indication of electrolyte balance. A physician orders parenteral proteins for a client who is emaciated. A nurse orders the proteins from the pharmacy knowing that parenteral proteins are supplied as: A synthetic crystalline amino acids. B casein amino acids. C immunoglobulins. D albumin. - A Protein is a body-building nutrient that promotes tissue growth, repair, and the replacement of body cells. Parenteral proteins are elemental, providing a synthetic crystalline amino acid that does not cause an antigenic reaction. A physician orders a total nutrient admixture (TNA) solution for a client diagnosed with severe anorexia nervosa. A nurse administers the solution knowing that TNA consists of a combination of: A platelets, plasma, and white blood cells B fats, carbohydrates, and proteins. C fats, electrolytes, and trace elements D carbohydrates, proteins, and heparin. - B TNA are systems that hold combinations of dextrose, amino acids, and fat emulsions in one container. It is also referred to as all-in-one or three-in-one. A nurse is instructed to add heparin to a client's TPN per a physician's order. What is the purpose of adding heparin to a TPN solution? A To enhance blood glucose levels B To thin the TPN solution so that it easily infuses C To decrease the incidence of