TEST BANK Q NURSING SKILLS:
CHAPTER 33 - PARENTERAL
NUTRITION EXAM QUESTIONS AND
ANSWERS
The nurse has been caring for a patient who has had a central venous access device
(CVAD) in place. The patient complains of sudden chest pain and difficulty breathing.
These assessment findings are symptoms of which severe complication?
a. Exit site infection
b. Catheter-related sepsis
c. Pneumothorax
d. Hyperglycemia - Answer-ANS: C
Symptoms of pneumothorax include sudden chest pain, difficulty breathing,
decreased breath sounds, cessation of normal chest movement on the affected side,
and tachycardia. Symptoms of exit site infection include erythema, tenderness,
induration, or purulence within 2 cm of the skin at the exit site. Symptoms of
catheter-related sepsis include isolation of the same microorganism from a blood
culture and catheter segment, with the patient showing fever, chills, malaise, and
elevated white blood cell count. Symptoms of hyperglycemia include excessive thirst,
urination, blood glucose greater than 160 mg/100 mL, and confusion.
11. The nurse is caring for a patient receiving parenteral nutrition (PN). In planning
the patient's care for the day, which nursing assessment is most essential?
a. Electrolyte levels
b. Weight
c. Temperature
d. Condition of catheter insertion site - Answer-ANS: A
Since the need for parenteral nutrition (PN) is usually associated with conditions that
result in electrolyte instability, maintaining electrolyte balance during therapy is
crucial. Monitor the patient's electrolyte levels (potassium, magnesium, and
phosphorus) for low serum levels which may indicate a risk for arrhythmias and
muscle weakness, Patients at risk may require having electrolyte panels done
several times a day. While it is necessary to monitor the patient's weight and
temperature and be alert for signs of infection at the insertion site, the biggest risk to
the patient is electrolyte instability.
The nurse is caring for a patient who is receiving parenteral nutrition (PN). The nurse
realizes that PN is associated with which of the following risks? (Select all that
apply.)
a. Decreased mortality
b. Bloodstream infection
c. Pneumothorax
d. Decreased length of stay
e. Liver disease - Answer-ANS: B, C, E
Use of parenteral nutrition (PN) in the perioperative patient is controversial, and
although benefits are more likely in the severely malnourished, evidence has shown
CHAPTER 33 - PARENTERAL
NUTRITION EXAM QUESTIONS AND
ANSWERS
The nurse has been caring for a patient who has had a central venous access device
(CVAD) in place. The patient complains of sudden chest pain and difficulty breathing.
These assessment findings are symptoms of which severe complication?
a. Exit site infection
b. Catheter-related sepsis
c. Pneumothorax
d. Hyperglycemia - Answer-ANS: C
Symptoms of pneumothorax include sudden chest pain, difficulty breathing,
decreased breath sounds, cessation of normal chest movement on the affected side,
and tachycardia. Symptoms of exit site infection include erythema, tenderness,
induration, or purulence within 2 cm of the skin at the exit site. Symptoms of
catheter-related sepsis include isolation of the same microorganism from a blood
culture and catheter segment, with the patient showing fever, chills, malaise, and
elevated white blood cell count. Symptoms of hyperglycemia include excessive thirst,
urination, blood glucose greater than 160 mg/100 mL, and confusion.
11. The nurse is caring for a patient receiving parenteral nutrition (PN). In planning
the patient's care for the day, which nursing assessment is most essential?
a. Electrolyte levels
b. Weight
c. Temperature
d. Condition of catheter insertion site - Answer-ANS: A
Since the need for parenteral nutrition (PN) is usually associated with conditions that
result in electrolyte instability, maintaining electrolyte balance during therapy is
crucial. Monitor the patient's electrolyte levels (potassium, magnesium, and
phosphorus) for low serum levels which may indicate a risk for arrhythmias and
muscle weakness, Patients at risk may require having electrolyte panels done
several times a day. While it is necessary to monitor the patient's weight and
temperature and be alert for signs of infection at the insertion site, the biggest risk to
the patient is electrolyte instability.
The nurse is caring for a patient who is receiving parenteral nutrition (PN). The nurse
realizes that PN is associated with which of the following risks? (Select all that
apply.)
a. Decreased mortality
b. Bloodstream infection
c. Pneumothorax
d. Decreased length of stay
e. Liver disease - Answer-ANS: B, C, E
Use of parenteral nutrition (PN) in the perioperative patient is controversial, and
although benefits are more likely in the severely malnourished, evidence has shown
