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Revision Examination Tests
“Come all for this greatness”
...100% Correct Ans...
Management of Patients with Diabetes
TPN EXAM PACK 2024/25
What is the primary purpose of TPN?
ans>- To meet the patient's nutritional needs
- To allow growth of new body tissue (protein)
What materials are used to administer TPN?
ans>A central line, such as a tunneled triple lumen catheter or a
single- or double-lumen peripherally inserted central (PICC) line
TPN contains complete nutrition, this includes...
ans>- Calories (in a high concentration [20% to 50%] of
dextrose)
- Lipids/essential fatty acids
- Protein
- Electrolytes
- Vitamins
- Trace elements.
TPN standard IV bolus therapy is typically less than or equal to _____ calories/day.
ans>700
Total parenteral nutrition (TPN) is a _______ , __ ______ solution.
ans>- Hypertonic
- IV Bolus
What are some reasons for administering parenteral nutrition?
ans>- Client's GI tract does not function
- Client cannot consume sufficient nutrients via GI tract
Partial Parenteral Nutrition (PPN) is:
Hypertonic or Isotonic?
ans>Isotonic
Partial Parenteral Nutrition (PPN) is:
Intended for long or short term use?
, ans>Short-Term
Partial Parenteral Nutrition (PPN) is:
Administered into a large or small peripheral vein?
ans>Large
Potential indications for TPN include any condition that:
(name two)
ans>- Affects the ability to absorb nutrition.
- Has a prolonged recovery.
- Creates a hypermetabolic state.
- Creates a chronic malnutrition.
There are two basic guidelines regarding when to initiate TPN. What are they?
ans>- A weight loss of 7% body weight and NPO for 5 days or more
- A hypermetabolic state
A nurse is planning care for a client who has a new prescription for total parenteral
nutrition (TPN). Which of the following interventions should be included in the plan of
care? (Select all that apply.)
A. Obtain a capillary blood glucose four times daily.
B. Administer prescribed medications through a secondary port on the TPN IV
tubing.
C. Monitor vital signs three times during the 12-hr shift.
D. Change the TPN IV tubing every 24 hr.
E. Ensure a daily aPTT is obtained.
ans>A. CORRECT: The client is at risk for hyperglycemia during the administration
of TPN and may require supplemental insulin.
C. CORRECT: Vital signs are recommended every 4 to 8 hr to assess for fluid
volume excess and infection.
D. CORRECT: It is recommended to change the IV tubing that is used to administer
TPN every 24 hr.
A nurse is caring for a client who is receiving TPN solution. It has been 24 hr since
the current bag of solution was hung, and 400 mL remains to infuse. Which of the
following is the appropriate action for the nurse to take?
A. Remove the current bag and hang a new bag.
B. Infuse the remaining solution at the current rate and then hang a new bag.
C. Increase the infusion rate so the remaining solution is administered within the
hour and hang a
new bag.
D. Remove the current bag and hang a bag of lactated Ringer's solution.
ans>A. CORRECT: The current bag of TPN should not hang more than 24 hr due to
the risk of infection.
What are the benefits to having a PICC line route for TPN?
(name two)
Revision Examination Tests
“Come all for this greatness”
...100% Correct Ans...
Management of Patients with Diabetes
TPN EXAM PACK 2024/25
What is the primary purpose of TPN?
ans>- To meet the patient's nutritional needs
- To allow growth of new body tissue (protein)
What materials are used to administer TPN?
ans>A central line, such as a tunneled triple lumen catheter or a
single- or double-lumen peripherally inserted central (PICC) line
TPN contains complete nutrition, this includes...
ans>- Calories (in a high concentration [20% to 50%] of
dextrose)
- Lipids/essential fatty acids
- Protein
- Electrolytes
- Vitamins
- Trace elements.
TPN standard IV bolus therapy is typically less than or equal to _____ calories/day.
ans>700
Total parenteral nutrition (TPN) is a _______ , __ ______ solution.
ans>- Hypertonic
- IV Bolus
What are some reasons for administering parenteral nutrition?
ans>- Client's GI tract does not function
- Client cannot consume sufficient nutrients via GI tract
Partial Parenteral Nutrition (PPN) is:
Hypertonic or Isotonic?
ans>Isotonic
Partial Parenteral Nutrition (PPN) is:
Intended for long or short term use?
, ans>Short-Term
Partial Parenteral Nutrition (PPN) is:
Administered into a large or small peripheral vein?
ans>Large
Potential indications for TPN include any condition that:
(name two)
ans>- Affects the ability to absorb nutrition.
- Has a prolonged recovery.
- Creates a hypermetabolic state.
- Creates a chronic malnutrition.
There are two basic guidelines regarding when to initiate TPN. What are they?
ans>- A weight loss of 7% body weight and NPO for 5 days or more
- A hypermetabolic state
A nurse is planning care for a client who has a new prescription for total parenteral
nutrition (TPN). Which of the following interventions should be included in the plan of
care? (Select all that apply.)
A. Obtain a capillary blood glucose four times daily.
B. Administer prescribed medications through a secondary port on the TPN IV
tubing.
C. Monitor vital signs three times during the 12-hr shift.
D. Change the TPN IV tubing every 24 hr.
E. Ensure a daily aPTT is obtained.
ans>A. CORRECT: The client is at risk for hyperglycemia during the administration
of TPN and may require supplemental insulin.
C. CORRECT: Vital signs are recommended every 4 to 8 hr to assess for fluid
volume excess and infection.
D. CORRECT: It is recommended to change the IV tubing that is used to administer
TPN every 24 hr.
A nurse is caring for a client who is receiving TPN solution. It has been 24 hr since
the current bag of solution was hung, and 400 mL remains to infuse. Which of the
following is the appropriate action for the nurse to take?
A. Remove the current bag and hang a new bag.
B. Infuse the remaining solution at the current rate and then hang a new bag.
C. Increase the infusion rate so the remaining solution is administered within the
hour and hang a
new bag.
D. Remove the current bag and hang a bag of lactated Ringer's solution.
ans>A. CORRECT: The current bag of TPN should not hang more than 24 hr due to
the risk of infection.
What are the benefits to having a PICC line route for TPN?
(name two)
