Question 1:
What is the purpose of parenteral nutrition?
Answer:
To provide nutrients to the body intravenously when oral or tube feeding is impaired.
Question 2:
What are the components of parenteral nutrition?
Answer:
Protein, carbohydrates, fats, electrolytes, vitamins, trace minerals, and sterile water.
Question 3:
What are indications for administering parenteral nutrition?
Answer:
Impaired ability to ingest food, underlying medical conditions preventing oral feeding, and
significant nitrogen loss from infections or abscesses.
Question 4:
How long can parenteral nutrition be used?
Answer:
It is suitable for long-term use, ranging from weeks to years.
Question 5:
What is a critical step in the nursing management of parenteral nutrition?
Answer:
Have a second nurse verify the TPN bag label and prescription.
Question 6:
What should be monitored once TPN has begun?
Answer:
I&Os, daily weights, electrolyte levels, and glucose levels.
,Question 7:
What is the recommended frequency for changing TPN tubing and bag?
Answer:
Every 24 hours to prevent bacterial growth.
Question 8:
What should be administered if the next TPN bag is delayed?
Answer:
10% - 20% dextrose/water until the replacement bag arrives.
Question 9:
What are potential complications of parenteral nutrition?
Answer:
Changes in blood glucose levels, fluid overload, sepsis, liver failure, and central venous catheter
complications.
Question 10:
What is a colonoscopy?
Answer:
A diagnostic procedure using a flexible fiber optic colonoscope to visualize the colon.
Question 11:
What preparations are necessary before a colonoscopy?
Answer:
Informed consent, moderate sedation, vital signs monitoring, allergy status check, and bowel
prep.
Question 12:
What can result from inadequate bowel preparation for a colonoscopy?
Answer:
The exam may be canceled.
Question 13:
What is Fecal Occult Blood Testing (FOBT)?
Answer:
A test that uses cards impregnated with guaiac to detect blood in stool samples.
, Question 14:
How many samples are typically required for FOBT?
Answer:
Three samples obtained on different days.
Question 15:
What is essential to adhere to during FOBT collection?
Answer:
Proper collection technique.
Question 16:
What are the nursing management objectives for clients with irritable bowel syndrome?
Answer:
Discuss nursing management related to the condition.
Question 17:
What should be compared when discussing Crohn's disease and ulcerative colitis?
Answer:
Pathophysiology, clinical manifestations, treatment modalities, and nursing care.
Question 18:
What is the nursing management focus for clients with anorectal disorders?
Answer:
Explain the nursing management specific to the disorder.
Question 19:
What is the significance of
monitoring the central line insertion site in parenteral nutrition?
Answer:
To check for signs of infection or infiltration.
Question 20:
What are the medication restrictions before testing for GI bleeding?
Answer:
Anticoagulants and NSAIDs should be avoided 7 days prior to testing.