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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. Document Content and Description Below Parenteral Nutrition Practice Questions for Exam, Questions and answers, 2022/2023. 100% verified. Identify if the following patients should receive PARENTERAL...

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  • November 12, 2022
  • 11
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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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

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