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- 1. Multiple Choice
Which of the following are true concerning parenteral nutrition (TPN, PN)?
It consists of a base solution of dextrose and lipids
The nurse adds electrolytes and vitamins to the base solution per doctor's orders
It is a hypertonic solution that appears yellow and is supplied in 2,000-3,000 ml bags
It is typically given over 24 hours
New orders for TPN are held until the current TPN order is complete to ensure maximum nutrition is delivered
- 2. Multiple Choice
Which of the following are true concerning lipids?
It can be given with TPN
It typically comes mixed with TPN and must be delivered via central venous access
It is delivered in a smaller volume than TPN and is white in color
Lipids places the patient at risk for a fat embolism
- 3. Multiple Choice
Which of the following would the nurse most likely assess prior to the administration of lipids?
BMI
Allergy to iodine
Allergy to eggs
Cholesterol level
- 4. Multiple Choice
The nurse should be concerned if Hyperal (TPN) contains insulin.
True
False
- 5. Multiple Choice
Which of the following components of connecting a patient to TPN and lipids are correct?
The two are connected at the Y site above the pump to be delivered to the patient
Hyperal and lipids are filtered through the hyperal filter, not the other way around
A separate filter is needed for the hyperal and the lipids
New tubing is needed for a new order of TPN and lipids
- 6. Multiple Choice
Hyperalimentation is good for ______ hours, while lipids are good for _______ hours.
12,6
24,12
48,24
18,9
- 7. Multiple Choice
For which of the following reasons would the nurse discard TPN or lipids?
The TPN was placed in the refrigerator
The lipids are being hung at 2000 on 1/5/2020 and the bag expires on 1/6/2020
The contents inside the bag are separating
There is a new TPN and lipid order
The lipids appear white in color
- 8. Multiple Choice
The nurse understands that when the provider orders TPN at a lower rate and increases it, then gradually decreases to stop, it is called _______________.
Cycling
Refeeding syndrome
Scaling up/down
Continuous assessment
- 9. Multiple Choice
Which of the following are true concerning refeeding syndrome?
Typically occurs in the severely malnourished once nutritional support is given
Is characterized by muscle wasting
Fluid retention is typically noted
The patient may have a phosphate level of 3 mg/dL
Muscle weakness and mental status changes may be noted
- 10. Multiple Choice
For which of the following patients is a blood glucose level Q6 hours necessary?
The patient who requires tube feeds
The patient receiving PN, but consumes 500 calories orally
The patient requiring TPN
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