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Suctioning 3

This document provides 7 multiple choice questions about total parenteral nutrition (TPN) for the NCLEX exam. It tests knowledge about weaning from TPN, changing TPN tubing, preventing air embolisms, signs of hyperglycemia, handling lipid emulsions, equipment needed for TPN administration, and appropriate interim solutions until new TPN is available. It also provides the answers and encourages studying TPN topics online at a specific Quizlet link.

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ACERET, IVAN LAURENTINE G.
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124 views2 pages

Suctioning 3

This document provides 7 multiple choice questions about total parenteral nutrition (TPN) for the NCLEX exam. It tests knowledge about weaning from TPN, changing TPN tubing, preventing air embolisms, signs of hyperglycemia, handling lipid emulsions, equipment needed for TPN administration, and appropriate interim solutions until new TPN is available. It also provides the answers and encourages studying TPN topics online at a specific Quizlet link.

Uploaded by

ACERET, IVAN LAURENTINE G.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TPN Nclex questions

Study online at https://quizlet.com/_7k9mee

1. A patient is being weaned from TPN and is expected to begin taking solid
food today. The ongoing solution rate has been 100 mL/hr. The nurse antici-
pates that which prescription regarding the TPN solution will accompany the
diet prescription?
A. Discontinue the TPN
B. Decrease the TPN rate to 50 mL/hr
C. Start 0.9% NS at 25 mL/hr
D. Continue the current infusion rate for TPN: B. Decrease the TPN rate to
50ml/hr
2. A nurse is preparing to change the TPN solution bag and tubing. The
patient's central line is located in the right subclavian vein. The nurse asks
the patient to take which essential action during the tubing change?
A. Breathe normally
B. Turn the head to the right
C. Exhale slowly and evenly
D. Take a deep breath, hold it, and bear down: D. Take a deep breath, hold it,
and bear down
3. A patient with TPN infusing has disconnected the tubing from the central
line catheter. The nurse assesses the patient and suspects an air embolism.
The nurse should immediately place the patient in which position?
A. On the left side, with the head lower than the feet
B. On the left side, with the head higher than the feet
C. On the right side, with the head higher than the feet
D. On the right side, with the head higher than the feet: A. on the left side, with
the head lower than the feet
4. A nurse monitors a patient receiving TPN for complications of the therapy
and should assess the patient for which manifestation of hyperglycemia?
A. Fever, weak pulse, and thirst
B. Nausea, vomiting, and oliguria
C. Sweating, chills, and abdominal pain
D. Weakness, thirst, and increased urine output: D. Weakness, thirst, increased
urine output
5. A nurse is preparing to hang fat emulsion (lipids) and notes that fat
globules are visible at the top of the solution. The nurse should take which
action?
A. Roll the bottle of solution gently
B. Obtain a different bottle of solution
C. Shake the bottle of solution vigorously
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TPN Nclex questions
Study online at https://quizlet.com/_7k9mee
D. Run the bottle of solution under warm water: B. Obtain a different bottle of
solution
6. A nurse is preparing to hang the first bag of TPN solution via a central
line in the patient. The nurse should obtain which most essential piece of
equipment before hanging the solution?
A. Urine test strips
B. Blood glucose meter
C. Electronic infusion pump
D. Noninvasive BP monitor: C. Electric infusion pump
7. The nurse is making initial rounds at the beginning of the shift and notes
that the TPN bag of an assigned patient is empty. Which solution should the
nurse hang until another bag of TPN is mixed and delivered to the nursing
unit?
A. 5% Dextrose in water
B. 10% Dextrose in water
C. 5% Dextrose in Ringer's lactate
D. 5% Dextrose in in 0.9% NS: B. 10% dextrose in water

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