TPN Exam 2 – Total Parenteral Nutrition Review

TPN Exam 2 – Total Parenteral Nutrition
Review.




1. A nurse is caring for a client who is receiving D
total parenteral nutrition and develops refeeding rationale: The nurse
should expect
syndrome. The nurse should expect which a. Hyperglycemi
of the following laboratory findings? a
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, TPN Exam 2 – Total Parenteral Nutrition
Review.
b. Hyperkalemia a low phosphate level in a
c. Hyponatremia client who has refeeding
d. Hypophosphatemia syndrome. Hy-
pophosphatemia
2. A nurse is assessing a client and
discovers the infusion pump with the
client's total parenteral


B
rationale: When a sudden
inter-
nutrition (TPN) solution is not infusing. The nurse ruption in the infusion
of TPN
is assessing a client and discovers the occurs, the client is at risk
infusion ump with the client's total for hypoglycemia. Shakiness
parenteral nutrition (TPN) solution is not and di- aphoresis are
infusing. The nurse should manifestations of
monitor the client for which of the following con- hypoglycemia
ditions?
a. Excessive thirst and urination
b. Shakiness and diaphoresis
c. Fever and chills
d. Hypertension and crackles

3. A nurse is assessing a client who is receiving total B
parenteral nutrition (TPN) therapy via an infusion rationale: The nurse
should
pump. Which of the following actions
should the nurse take? 4.
a. Obtain the client's blood glucose every
12hr
b. Change the IV tubing every 24hr
c. Change the IV site dressing every 4 days
d. Weigh the client every other day
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, TPN Exam 2 – Total Parenteral Nutrition
Review.
change the client's IV tubing every 24hr, or per facility protocol, to
prevent bacteria from developing in the tubing




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