Parenteral Nutrition Full Test Bank Ch.12

Chapter 12: Parenteral Nutrition

Multiple Choice

Identify the choice that best completes the statement or answers the question.

1. A nurse is reviewing the medical record for a client on PN via central vein with a nursing diagnosis of Altered nutrition: Less than body requirements. Which assessment data is the best indicator for continued need of additional nutritional support?

A. Intake and output

B. Calorie count

C. Serum electrolytes

D. Trace element levels

2. A physician orders parenteral proteins for a client who is emaciated. A nurse orders the proteins from the pharmacy knowing that parenteral proteins are supplied as:

A. synthetic crystalline amino acids.

B. glutamic amino acid.

C. serum transferrin.

D. albumin.

3. A physician orders a total nutrient admixture (TNA) solution for a client diagnosed with severe anorexia nervosa. A nurse administers the solution knowing that TNA consists of a combination of:

A. platelets, plasma, and white blood cells.

B. fats, carbohydrates, and proteins.

C. fats, electrolytes, and trace elements.

D. carbohydrates, proteins, and heparin.

4. A nurse is instructed to add heparin to a client’s PN via central vein per a physician’s order. What is the purpose of adding heparin to a PN solution?

A. To enhance blood glucose levels

B. To thin the PN solution so that it easily infuses

C. To decrease the incidence of subclavian vein thrombosis

D. To prevent gastric ulcers

5. A clinical nurse specialist is conducting an in-service for critical-care nurses regarding the administration of cyclic PN via central vein . Which key point should be included in the in-service?

A. It is indicated for clients receiving continuous, stabilized PN.

B. It is indicated for short-term parenteral nutrition.

C. It must be escalated to maintain rate.

D. The dose must be tapered to avoid abrupt changes in glucose levels.

6. A nurse is caring for a critically ill client who has been admitted to an intensive care unit. The nurse monitors the client’s nutritional status. During times of stress, which element of metabolism is radically altered?

A. Protein

B. Fat

C. Carbohydrate

D. Vitamin C

7. A nurse is caring for a client receiving PN via central vein. In addition to multiple vitamins, which medication might be anticipated that will help delay clotting?

A. Enoxaparin sodium 100 mg

B. Vitamin K 5 mg

C. Zinc 2.5 mg

D. Biotin 60 g