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A client is receiving Total Parenteral Nutrition (TPN) for severe malnutrition. Which laboratory result provides evidence supporting TPN effectiveness?

Hemoglobin 12 mg/dL.

Decreased serum Calcium.

Pre-albumin in expected range.

Cholesterol 140mg/dL. . .

Answer and Explanation

The Correct Answer is C

Choice A rationale

Hemoglobin levels indicate general blood health but do not directly reflect nutritional status or TPN effectiveness.

Choice B rationale

Serum calcium levels reflect calcium metabolism, not overall nutritional status or the effectiveness of TPN.

Choice C rationale

Pre-albumin levels provide a sensitive indicator of nutritional status and protein synthesis, showing TPN effectiveness in improving nutrition.

Choice D rationale

Cholesterol levels can be influenced by various factors and do not specifically reflect the effectiveness of TPN in improving nutritional status. .

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Flush with 15-30 mL sterile water after each medication. Flushing the gastrostomy tube with sterile water ensures that the medication is fully delivered and prevents clogging of the tube, which is crucial for maintaining its patency.

Choice B rationale

Crush each immediate-release tablet and mix it in 15-30 mL sterile water. Crushing immediate-release tablets and mixing them with sterile water makes it easier to administer through the tube, ensuring that the medication can be properly absorbed by the body.

Choice C rationale

Add medications directly to the tube feeding formula. Adding medications directly to the feeding formula can cause drug-nutrient interactions and may affect the medication's efficacy and absorption, making this practice generally not recommended.

Choice D rationale

Use liquid medications when available. Liquid medications are preferred for tube feedings as they are less likely to cause blockages and are easier to administer and absorb compared to crushed tablets.

Choice E rationale

Mix all medications, dilute with water and give them together. Mixing all medications together can lead to interactions between the drugs, potentially altering their effectiveness and increasing the risk of adverse reactions, making this practice inappropriate.

Correct Answer is ["688"]

Explanation

Step 1:
Calculate the duration in minutes from 1400 to 1930. 1930 - 1400 = 5 hours 30 minutes = 330 minutes
Step 2:

Determine the infusion rate per hour. 125 mL/hour

Step 3:

Calculate the total volume infused. (125 mL/hour) × (330 minutes ÷ 60 minutes/hour) = (125 mL/hour) × (5.5 hours) = 687.5 mL Rounded to the nearest whole number = 688 mL.

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A client is receiving Total Parenteral Nutrition (TPN) for severe malnutrition. Which laboratory result provides evidence supporting TPN effectiveness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.

Correct Answer is ["688"]

Explanation

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