IV THERAPY EXAM 5 STUDY GUIDE Questions with Correct Solutions
Question:
1. How is the Total Parenteral Nutrition (TPN) solution ordered for the patient?
Answer:
It is patient-specific based on nutritional status, stress factors, and renal function with limited
protein added
Question:
2. What restrictions are placed on a patient during TPN?
Answer:
No intake by mouth
Question:
3. Where is the central line tip placed for TPN administration?
Answer:
Superior vena cava (SVC)
Question:
4. Where is TPN administered?
Answer:
Medial port (nothing else can be given in this port if TPN is in use)
Question:
5. What is a major concern with the TPN infusion system and how do we avoid it?
Answer:
Contamination; strict sterile technique
Question:
6. What should be monitored for frequently during TPN?
Answer:
Vital signs and signs of infection
Question:
7. What can rapid infusions of hypertonic dextrose cause?
Answer:
Diuresis, hyperglycemia, glycosuria, and hyperosmolar coma
, Question:
8. When should infusion completion of lipid-containing solutions occur?
Answer:
Within 24 hours of hanging
Question:
9. When should infusion completion of lipids only occur?
Answer:
Within 12 hours of hanging
Question:
10. What monitoring is required during rapid infusion of hypertonic dextrose/lipids in TPN?
Answer:
Frequent glucose checks (finger sticks), labs, & lipids
Question:
11. What complications may arise when administering fat emulsions & what should you do?
Answer:
"Breaking or oiling out", yellow streaks or droplets; discard
Question:
12. Why should you not use a filtered line when administering lipids?
Answer:
The fat emulsions are too large to pass through
Question:
13. Where do you attach the TPN line?
Answer:
To the port closest to the catheter hub (medial)
Question:
14. Why should you not play "catch-up" if a TPN administration gets behind?
Answer:
Causes hyperglycemia & metabolic complications
Question:
15. What nursing precautions should be taken when administering TPN?
Question:
1. How is the Total Parenteral Nutrition (TPN) solution ordered for the patient?
Answer:
It is patient-specific based on nutritional status, stress factors, and renal function with limited
protein added
Question:
2. What restrictions are placed on a patient during TPN?
Answer:
No intake by mouth
Question:
3. Where is the central line tip placed for TPN administration?
Answer:
Superior vena cava (SVC)
Question:
4. Where is TPN administered?
Answer:
Medial port (nothing else can be given in this port if TPN is in use)
Question:
5. What is a major concern with the TPN infusion system and how do we avoid it?
Answer:
Contamination; strict sterile technique
Question:
6. What should be monitored for frequently during TPN?
Answer:
Vital signs and signs of infection
Question:
7. What can rapid infusions of hypertonic dextrose cause?
Answer:
Diuresis, hyperglycemia, glycosuria, and hyperosmolar coma
, Question:
8. When should infusion completion of lipid-containing solutions occur?
Answer:
Within 24 hours of hanging
Question:
9. When should infusion completion of lipids only occur?
Answer:
Within 12 hours of hanging
Question:
10. What monitoring is required during rapid infusion of hypertonic dextrose/lipids in TPN?
Answer:
Frequent glucose checks (finger sticks), labs, & lipids
Question:
11. What complications may arise when administering fat emulsions & what should you do?
Answer:
"Breaking or oiling out", yellow streaks or droplets; discard
Question:
12. Why should you not use a filtered line when administering lipids?
Answer:
The fat emulsions are too large to pass through
Question:
13. Where do you attach the TPN line?
Answer:
To the port closest to the catheter hub (medial)
Question:
14. Why should you not play "catch-up" if a TPN administration gets behind?
Answer:
Causes hyperglycemia & metabolic complications
Question:
15. What nursing precautions should be taken when administering TPN?
