Nokea
When monitoring a patient who has been receiving peripheral parenteral nutrition for more than 3 weeks, the nurse will watch for which potential complication?
- A. Diarrhea
- B. Phlebitis
- C. Hypernatremia
- D. Hypoglycemia
Correct Answer: B
Rationale: The long-term administration of nutritional supplements via a peripheral vein may lead to phlebitis and, possibly, the loss of a limb.
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The nurse is preparing to administer medications to a patient who is receiving a feeding via a gastric tube. When reviewing the patient's medication list, the nurse notes a potential concern about a food-drug interaction if which medication is listed?
- A. Multivitamin solution
- B. Phenytoin (Dilantin)
- C. Metoclopramide (Reglan)
- D. Warfarin (Coumadin)
Correct Answer: B
Rationale: Tube feedings can reduce the absorption of phenytoin, which may result in seizures. It is recommended that tube feedings be held for at least 2 hours before and after the administration of phenytoin.
The peripheral parenteral nutrition bag that has been infusing into the patient is empty, and the nurse realizes that the next bag is not ready. The nurse should immediately hang which of these intravenous solutions until the new bag arrives?
- A. 10% dextrose in water
- B. 20% dextrose in water
- C. 0.9% sodium chloride
- D. Lactated Ringer's solution
Correct Answer: A
Rationale: If intravenous parenteral nutrition is discontinued abruptly, rebound hypoglycemia may occur. This can be prevented with infusion of 5% to 10% glucose until the parenteral nutrition infusion is ready. For peripheral infusions, the dextrose must not be more than 10%.
A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has developed anorexia caused by the treatments, so she needs short-term nutrition supplementation. The nurse anticipates that the physician will initiate which therapy?
- A. Central total parenteral nutrition
- B. Peripheral parenteral nutrition
- C. Oral nutritional supplements with meals
- D. Nasogastric enteral supplementation
Correct Answer: B
Rationale: Peripheral parenteral nutrition is indicated for anorexia caused by radiation or cancer chemotherapy. Total parenteral nutrition is indicated for more long-term use. The other options are incorrect.
A patient with type 2 diabetes will be receiving a nasogastric tube feeding for a few days. The nurse expects which type of formula to be used?
- A. Jevity
- B. Ensure Plus
- C. Glucerna
- D. Polycose
Correct Answer: C
Rationale: Glucerna is a formulation designed for use in patients with impaired glucose tolerance (e.g., diabetic patients). The other options are not designed for patients with diabetes.
A patient is receiving a nutritional supplement via an enteral feeding tube. The nurse will monitor for which common adverse effect?
- A. Diarrhea
- B. Constipation
- C. Fluid overload
- D. Heartburn
Correct Answer: A
Rationale: Diarrhea is the most common result of the gastrointestinal intolerance that occurs with nutritional supplementation.