NUR 223 Ch32 TPN Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
Which laboratory values are Electrolytes (K, Mg, phosphorus). shift into
important for monitoring patients cell w/
with risk of refeeding syndrome? glucose, serum levels drop, requiring
Why? careful
monitoring & add'l supplements.
When should bedside glucose Every 6 hours until stable levels. Less
levels frequent
be checked with a new PN start? monitoring may result in undetected
Why? hyperglycemia that is more difficult to
correct.
When should bedside glucose Two hours after the infusion begins and 2
levels hours
be checked to prepare a patient after the infusion ends. To prepare a
for patient for
discharge with cyclic home PN? discharge with home PN, glucose checks
Why? should
be taken at times that reflect likely peak
and trough
levels.
, What is indicated by a weight gain Fluid retention.
in
excess of 1 pound over 24 hours
in a
hospitalized patient receiving PN?
Where is PN mixed, and why? In a laminar airflow hood in a pharmacy, to
reduce
the risk of microbial and pyrogen
contamination
TPN Used for patients with GI disorders that
cannot use
the digestive tract
The most frequent complication central line associated blood stream
associated with PN infection
(CLABSI) **. Requires close monitoring.
PN infusing via PIV or midline Avoided due to increased risk of phlebitis.
catheters CAN be diluted if the only access available
is PIV.
However, some patients may not be able
to handle
the additional fluid volume
PN Must be run through a filter!!!!
Lipids must run through a larger filter
Answers with Verified Solutions | Latest
Updated 2026
Which laboratory values are Electrolytes (K, Mg, phosphorus). shift into
important for monitoring patients cell w/
with risk of refeeding syndrome? glucose, serum levels drop, requiring
Why? careful
monitoring & add'l supplements.
When should bedside glucose Every 6 hours until stable levels. Less
levels frequent
be checked with a new PN start? monitoring may result in undetected
Why? hyperglycemia that is more difficult to
correct.
When should bedside glucose Two hours after the infusion begins and 2
levels hours
be checked to prepare a patient after the infusion ends. To prepare a
for patient for
discharge with cyclic home PN? discharge with home PN, glucose checks
Why? should
be taken at times that reflect likely peak
and trough
levels.
, What is indicated by a weight gain Fluid retention.
in
excess of 1 pound over 24 hours
in a
hospitalized patient receiving PN?
Where is PN mixed, and why? In a laminar airflow hood in a pharmacy, to
reduce
the risk of microbial and pyrogen
contamination
TPN Used for patients with GI disorders that
cannot use
the digestive tract
The most frequent complication central line associated blood stream
associated with PN infection
(CLABSI) **. Requires close monitoring.
PN infusing via PIV or midline Avoided due to increased risk of phlebitis.
catheters CAN be diluted if the only access available
is PIV.
However, some patients may not be able
to handle
the additional fluid volume
PN Must be run through a filter!!!!
Lipids must run through a larger filter
