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IV Therapy Unit10&11
Unit 10 & 11
| Question | Answer |
|---|---|
| TPN is the provision of nutrients intravenously in sufficient amounts to: | Achieve anabolism |
| Total parenteral nutrition is also occasionally referred to as which of the following? | Hyperal, hyperalimentation, or intravenous hyperalimentation |
| Which of the following are common indicators for TPN therapy? | Hepatic failure, hypermetabolic states, and malabsorption of enteral therapy |
| What is the most common carbohydrate used for TPN? | Dextrose |
| What is the source of protein used in TPN? | Free amino acids |
| What substances are generally added to total parenteral nutrition solutions? | Electroltes, trace elements, and vitamins |
| Which of the following is indicated to treat essential fatty acid deficiency? | Lipids |
| A solution of three-in-one refers to the combination in one container of which of the following? | Lipids, dextrose, and amino acids |
| Which one of the following statements accurately reflects principles of peripheral parenteral nutrition? | Crystalline amino acids used are within the 2-5% range |
| Which of the following statements accurately reflect principles of central venous parenteral nutrition? | It is useful for long-term therapy |
| The regimen of time for the delivery of cyclic TPN therapy is usually how many hours? | 12-18 |
| What is a vital nursing consideration when infusing parenteral nutrition solutions? | Initial infusions should begin slowly with incremental increases until desired infusion rate is achieved |
| Potential TPN-associated metabolic complications include which of the following? | Glucose intolerance, electrolyte imbalances, and essential fatty acid deficiency |
| The reversal of a hyperglycemic, hyperosmolar, nonketonic coma secondary to TPN requires the administration of: | Insulin |
| Dry/scaling skin, thinning hair, thrombocytopenia, and liver function abnormalities are clinical manifestations of what condition? | Essential fatty acid deficiency |
| What is the primary cause of TPN-related sepsis? | Migration of microorganisms along the catheter |
| What is the appropriate filter porosity rating for use with three-in-one nutrient solutions? | 1.2 µ |
| The administration set used for the infusion of TPN solutions should be changed according to what schedule? | Every 24 hours |
| Which of the following is a nursing consideration specific to the intravenous administration of lipids? | Using non-PVC tubing |
| Lipid therapy is contraindicated when which of the following conditions are present? | Pathologic hyperlipemia and lipoid nephrosis |
| What is the appropriate area for preparing TPN solutions? | Under a laminar flow hood in the pharmacy |
| Equipment needed to perform phlebotomy include: | Tube, tube holder, needle, gloves, and cleansing agent |
| The largest and best anchored vein to use for a phlebotomy venipuncture is the: | Median cubital vein |
| Potential complications of phlebotomy include: | Hematoma, nerve trauma, and syncope |
Created by:
bodhichitta