Quiz 83: Parenteral Nutrition
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
Instructor Verified Answers Included
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1. A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure. Which intervention should the nurse include in the plan of care to deliver nutritional needs?
a. Enteral nutrition (EN)
b. Parenteral nutrition (PN)
c. A combination of enteral and parenteral nutrition
d. Oral nutrition
2. The patient has been ordered to receive parenteral nutrition (PN) but will require the nutritional therapy to continue for several months. Which route is most important for the nurse to consider?
a. Second intravenous line
b. Enteral feeding tube
c. Central venous access device (CVAD)
d. Parenteral feeding tube
3. The nurse is caring for a patient who is receiving PN. As part of therapy, the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?
a. Lower than normal blood glucose to determine adequate tolerance for PN
b. Slightly higher than normal blood glucose to meet increased cellular needs
c. Slightly higher than normal blood glucose to prevent infection or systemic sepsis
d. Normal blood glucose to prevent associated complications
4. A patient had surgery 1 week ago, has not been eating his meals, and states that he has no appetite. The nurse assesses that the patient has been progressively losing weight. Which intervention has the highest priority?
a. Encourage the patient to eat.
b. Force-feed the patient.
c. Consult with the nutritional support team.
d. Be aware that the patient will come around when hungry.
5. During intravenous (IV) administration of fat (lipid) emulsions, the patient voices complaints. Which complaint indicates to the nurse that the patient is experiencing a complication associated with the administration?
a. Fever, chills, and malaise
b. Low temperature, chills, and headache
c. Fever, flushing, and muscle relaxation
d. Low temperature, muscle aches, and dyspnea
6. Which assessment should a nurse expect to see for a patient receiving parenteral nutrition (PN)?
a. Weight gain of 1 to 2 pounds per week
b. Serum calcium level of 10 mEq/L
c. Serum potassium level of 2.8 mEq/L
d. Serum glucose level of more than 200 mg/100 mL
7. A patient receiving parenteral nutrition (PN) has gained 4 pounds over a 24-hour period. Given this weight gain, which interpretation by the nurse is most accurate?
a. Increased nutrition from the patient’s parenteral infusions
b. Decreased linoleic acid intake
c. Increased fluid loss
d. Fluid retention
8. To detect a common untoward effect of interrupting a parenteral nutrition (PN) infusion, the nurse should assess the patient for development of which symptom?
b. Chest pain
c. Erythema and induration
d. Shaking and dizziness
9. The nurse is managing the care of a patient receiving parenteral nutrition (PN). Which assessment finding indicates potential septicemia?
a. Shakiness and dizziness
b. Chest pain/hypotension
c. Increased thirst
d. Increased temperature
10. 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
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
d. Condition of catheter insertion site
1. 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
d. Decreased length of stay
e. Liver disease
2. The patient will be discharged to home on parenteral nutrition (PN). The patient and his family education will need to perform which of the following care steps? (Select all that apply.)
a. Monitor the patient’s weight.
b. Monitor the patient’s serum glucose levels.
c. Measure the patient’s intake and output.
d. Perform catheter care.
e. Limit the patient’s activity.
1. If parenteral nutrition (PN) must be discontinued suddenly, hang __________ in water at the same infusion rate to prevent hypoglycemia.