Parenteral Nutrition Practice Questions for Exam, Questions and answers, 2022/2023. 100% verified.

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Parenteral Nutrition Practice Questions for Exam, Questions and answers, 2022/2023. 100% verified. Identify if the following patients should receive PARENTERAL nutrition. (*Select all that apply* ... ) *A.* A previously healthy patient with dysphagia after a stroke who is expected to be eating regular foods in four days. *B.* A patient with dysphagia from Parkinson's disease and the dysphagia is not expected to resolve. *C.* Pregnant patient with hyperemesis gravidum expected to resolve in 3-4 days. *D.* Patient with colorectal cancer and a small bowel obstruction. *E.* Premature neonate born at 24 weeks. *F.* A patient who specified "no artificial feeding" to her medical power of attorney. - *D.* Patient with colorectal cancer and a small bowel obstruction. *E.* Premature neonate born at 24 weeks. The pharmacist in Central Pharmacy calls you to state that Multitrace®-5 is in shortage and none can be obtained from the hospital wholesaler. The hospital is now substituting with MTE-4. Which trace element made need to be added to this patient's nutritional plan because it is missing from MTE-4? *A.* Copper *B.* Iodide *C.* Molybdenum *D.* Selenium - *D.* Selenium A national shortage of intravenous lipids occurs. AB is switched to a 2-in-1 TPN formulation and will now receive lipids three times a week as a separate infusion. Select the correct statement comparing to a 2-in-1 instead of 3-in-1 TPN bag. A 2-in-1 TPN compared to a 3-in-1 TPN will result in DECREASED: *A.* Vein irritation from the TPN *B.* Nursing time to administer TPN *C.* Risk of catheter occlusion *D.* Medication compatibilities - *C.* Risk of catheter occlusion Two weeks after starting TPN, AB has increasing LFTs. Her doctors notes gallstones on an abdominal ultrasound. Select the BEST recommendation to address this complication: *A.* Change to a cycled infusion *B.* Increase the infusion rate *C.* Decrease the total kilocalories *D.* Start enteral feeds at a low rate - *D.* Start enteral feeds at a low rate Which of the following monitoring parameters for patient newly starting PN is CORRECT? (*Select ALL that apply.*) *A.* Weights should be checked daily. *B.* In's and out's should be checked daily. *C.* Prealbumin should be checked weekly. *D.* Blood sugars only need to be checked if the patient is diabetic. *E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a regular diet. *F.* LFTs should be checked 2-3 times per week. - *A.* Weights should be checked daily. *B.* In's and out's should be checked daily. *E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a regular diet. *F.* LFTs should be checked 2-3 times per week. AB is on Day 3 of TPN. After one week, she should have her protein in his nutrition care plan DECREASED if: *A.* Her BUN increases *B.* She has a +3.3 nitrogen balance *C.* Her prealbumin is increasing *D.* Her albumin is staying the same - *A.* Her BUN increases AB's nurse calls to say the filter sent with the 2-in-1 TPN is clogged and causing the infusion pump to alarm. She asks what she should do. Select the BEST response to this nurse's question. *A.* Remove the filter and continue infusing the TPN without a filter. *B.* Infuse the TPN with another 1.2 micron filter since the TPN is a 2-in-1. *C.* Infuse the TPN with another 0.22 micron filter since the TPN is a 2-in-1. - *C.* Infuse the TPN with another 0.22 micron filter since the TPN is a 2-in-1. You are an APPE student on your institutional rotation. Your preceptor asks you to evaluate the institution's practice for ordering, compounding, labeling, and administering parenteral nutrition in compliance with best practices. Select the CORRECT statement regarding best practice of TPN preparation. *A.* An automated compounder is recommended, but not required, to compound parenteral nutrition *B.* A filter should be dispensed with 3-in-1 TPNs but is not required for 2-in-1 TPNs *C.* All vitamins and additional additives such as insulin should be added to the bag immediately before use if it will be used more than one day after the TPN was compounded *D.* A pharmacist who specializes in nutrition support can serve as both the initial and final check of the TPN product - *C.* All vitamins and additional additives such as insulin should be added to the bag immediately before use if it will be used more than one day after the TPN was compounded Because the pharmacy has experienced multiple drug shortages in the past 12 months, you may have to modify the nutrition support team's policy for TPN ordering and dispensing at your facility. Which of the following statements BEST incorporates A.S.P.E.N.'s recommendations for drug shortages? *A.* The pharmacy will automatically substitute calcium chloride for calcium gluconate in TPN *B.* Pediatric multivitamins will be substituted for all adult and pediatric patients receiving TPN *C.* The nutrition support team can consider the contribution of phosphate from fat emulsion when calculating phosphorus needs *D.* Patient AB is an ideal candidate for premixed parenteral nutrition because premixed products are low in dextrose and fluids - *C.* The nutrition support team can consider the contribution of phosphate from fat emulsion when calculating phosphorus needs Your hospital does not compound many customized parenteral nutrition bags and another pharmacist asks if premixed parenteral nutrition can be used instead. You respond that premixed parenteral nutrition products: *A.* Should be avoided during periods of drug shortages *B.* Are an appropriate nutritional option only for patients with central lines *C.* Are appropriate choices for patients who are fluid-restricted or catabolic *D.* Have a decreased risk of compounding errors compared to customized premixed parenteral nutrition products - *D.* Have a decreased risk of compounding errors compared to customized premixed parenteral nutrition products Select the *CORRECT* statement regarding an advantage of premixed parenteral nutrition products. Premixed parenteral nutrition products:(*Select all that apply*) *A.* Contain higher amino acid concentrations than customized TPN products *B.* Contain lower amounts of dextrose than customized TPN products *C.* Contain higher amounts of fluid than customized TPN products *D.* Can be infused via peripheral IV - (I'm sure she was going for D, because C is considered a bad thing) *C.* Contain higher amounts of fluid than customized TPN products *D.* Can be infused via peripheral IV Which of the following TPN additives contains the largest amount of aluminum per liter? *A.* Calcium gluconate *B.* Sodium chloride *C.* Dextrose 70% stock solution *D.* Aminosyn (amino acids) stock solution - *A.* Calcium gluconate (Slide 50) A national shortage of premixed fat emulsion occurs, and your institution changes its policy to switch from 3-in-1 TPN to 2-in-1 TPN. Compared to a 3-in-1TPN, A 2-in-1 TPN: *A.* Has a shorter stability of the compounded product *B.* Has an increased risk of hypertriglyceridemia *C.* Allows for easier visual inspection of particulates *D.* Is a simpler regimen for the nurse to set up and infuse - *C.* Allows for easier visual inspection of particulates (Slide 52) Calcium gluconate...4.7mEq=1g...20mEq/day Magnesium sulfate...8.12mEq=1g...10mEq/day [Show More]

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