NURS 3160 FINAL EXAM
- TPN ADMINISTRATION
What is the purpose of TPN? - CORRECT ANSWER -Parenteral nutrition is the provision of
nutrients directly into the vein
-May be used as a sole source of nutrition (TPN) or in conjunction with feeding (PN)
-The main goal is to provide adequate nutrients to support protein synthesis and metabolic
hemostasis
What is the indication for Parenteral Nutrition? - CORRECT ANSWER --Patients whose GI
tract is not functioning properly (herniation, adhesions, intussusception, volvulus)
-Patients whose GI tract cannot be accessed
-Patients who cannot be adequately nourished by or oral or enteral diet
How is TPN administered? - CORRECT ANSWER --TPN must be infused through a central
line (CVC, PICC) and is used to meet the patient's complete nutritional needs
What is the purpose of Peripheral Parenteral Nutrition (PPN)? - CORRECT ANSWER --PPN is
used as a short term solution where D10W is used as a base solution and intended to
supplement dietary intake or provide minimal support to uncompromised patients
Nursing implications during administration of PN - CORRECT ANSWER --Monitor CBG, Vitals
and weight
-Ongoing monitoring of fluid status, blood work, signs of trace-mineral deficiencies
-Assess for hyperlipidemia or re-feeding syndrome
*Prior to administration of PN, check history for diabetes, infection and steroid use*
- TPN ADMINISTRATION
What is the purpose of TPN? - CORRECT ANSWER -Parenteral nutrition is the provision of
nutrients directly into the vein
-May be used as a sole source of nutrition (TPN) or in conjunction with feeding (PN)
-The main goal is to provide adequate nutrients to support protein synthesis and metabolic
hemostasis
What is the indication for Parenteral Nutrition? - CORRECT ANSWER --Patients whose GI
tract is not functioning properly (herniation, adhesions, intussusception, volvulus)
-Patients whose GI tract cannot be accessed
-Patients who cannot be adequately nourished by or oral or enteral diet
How is TPN administered? - CORRECT ANSWER --TPN must be infused through a central
line (CVC, PICC) and is used to meet the patient's complete nutritional needs
What is the purpose of Peripheral Parenteral Nutrition (PPN)? - CORRECT ANSWER --PPN is
used as a short term solution where D10W is used as a base solution and intended to
supplement dietary intake or provide minimal support to uncompromised patients
Nursing implications during administration of PN - CORRECT ANSWER --Monitor CBG, Vitals
and weight
-Ongoing monitoring of fluid status, blood work, signs of trace-mineral deficiencies
-Assess for hyperlipidemia or re-feeding syndrome
*Prior to administration of PN, check history for diabetes, infection and steroid use*
