A patient is admitted with severe malnutrition. A central venous catheter is placed in the right subclavian vein and total parenteral nutrition (TPN) is started. What medical interventions may be initiated with the onset of hyperglycemia?
Adding insulin to the TPN
Discontinuing the infusion
Weaning from the TPN over a 6-hour period
Starting an infusion of 0.9% normal saline
The Correct Answer is A
A. Insulin can be added to the TPN to control blood sugar levels. TPN often leads to hyperglycemia, and insulin is commonly added to the solution to regulate glucose levels.
B. Discontinuing the infusion would not address the hyperglycemia and would risk nutrient deficiencies.
C. Weaning from TPN may be indicated when discontinuing the nutrition support, but it is not a direct intervention for hyperglycemia.
D. Starting an infusion of 0.9% normal saline would not address the hyperglycemia directly and may not be effective in managing the glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["62.5"]
Explanation
Convert hours to minutes:
- 4 hours 60 minutes/hour = 240 minutes
Calculate the total drops:
- 1000 mL 15 gtt/mL = 15000 gtt
Calculate the drops per minute:
- 15000 gtt / 240 minutes = 62.5 gtt/minute
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"}}
Explanation
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