A nurse is providing teaching to a client about total parenteral nutrition (TPN). Which of the following information should the nurse include?
"TPN has a low risk of complications."
"TPN will be administered through a peripheral IV in your arm."
"TPN may increase the risk of aspiration."
"TPN will provide nutrition without going through the digestive tract."
The Correct Answer is D
A. "TPN has a low risk of complications.": Total parenteral nutrition carries significant risks, including infection, metabolic imbalances, and liver dysfunction. It is not considered low risk.
B. "TPN will be administered through a peripheral IV in your arm.": TPN is typically administered through a central venous catheter because its high osmolarity can damage peripheral veins. Using a peripheral IV is not standard practice for long-term TPN.
C. "TPN may increase the risk of aspiration.": Aspiration risk is associated with enteral feeding through the gastrointestinal tract, not with TPN, which bypasses the digestive system entirely.
D. "TPN will provide nutrition without going through the digestive tract.": TPN delivers nutrients directly into the bloodstream, bypassing the gastrointestinal tract. This is an essential point for clients to understand regarding how TPN supports nutrition when oral or enteral feeding is not possible.
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Related Questions
Correct Answer is B
Explanation
A. "I feel like my heart is skipping beats.": Palpitations can occur with some medications, but they are less common with escitalopram. This may warrant further assessment but is not a typical adverse effect of the drug.
B. "I have noticed that I have decreased sexual interest.": Sexual dysfunction, including decreased libido, delayed ejaculation, and anorgasmia, is a well-known adverse effect of selective serotonin reuptake inhibitors (SSRIs) like escitalopram.
C. "I have recently lost 7 pounds.": Weight changes can occur with antidepressants, but mild weight loss is not typically considered a primary adverse effect of escitalopram and may reflect other factors.
D. "I feel less anxious when I am around my friend.": This statement reflects the therapeutic effect of escitalopram in reducing anxiety and improving mood, rather than an adverse effect.
Correct Answer is D
Explanation
A. Weight gain: Ergotamine does not typically cause weight gain. Its primary adverse effects are related to vascular and neuromuscular systems rather than metabolic changes.
B. Constipation: Constipation is not a common adverse effect of ergotamine. The medication primarily affects smooth muscle in blood vessels rather than gastrointestinal motility.
C. Hypoglycemia: Ergotamine does not influence blood glucose levels, so hypoglycemia is not an expected adverse effect.
D. Muscle pain: Ergotamine can cause vasoconstriction of peripheral blood vessels, which may lead to muscle pain, weakness, or tingling in the extremities. This neuromuscular effect is a recognized potential adverse effect of the medication.
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