Total Parenteral Nutrition Tpn-IV Quiz

15 Questions | By GSWife | Updated: Apr 20, 2022 | Attempts: 13971

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Total Parenteral Nutrition Tpn-IV Quiz - Quiz

Get ready for this "Total Parenteral Nutrition TPN-IV Quiz. " Parenteral nutrition is the feeding of nutritional products to a person intravenously, bypassing the usual process of eating and digestion. It is used to help people who can't or shouldn't get their core nutrients from food; the person gets to receive nutritional formulae that contain nutrients and dietary minerals. Test your understanding of this by taking the quiz below. Best of luck to you!

Questions and Answers

1.

TPN is the provision of nutrients intravenously in sufficient amounts to:
- A.
  
  Achieve catabolism
- B.
  
  Generate the formation of ketone bodies
- C.
  
  Achieve anabolism
- D.
  
  Create necessary branched-chain amino acids to stimulate hyperosmolar syndrome
2.

Which of the following are common indicators for TPN therapy?
- A.
  
  Coma, citrate toxicity, and bowel surgery
- B.
  
  Renal failure, prolonged ileus, and gastrocutaneous fistulas
- C.
  
  Hepatic failure, hypermetabolic states, and malabsorption of enteral therapy
- D.
  
  Filtration, multiple trauma, and conditions requiring bowel rest
3.

What is the most common carbohydrate used for TPN?
- A.
  
  Dextrose
- B.
  
  Fructose
- C.
  
  Invert sugar
- D.
  
  Lactose
4.

What is the source of protein used in TPN?
- A.
  
  Alpha globulins
- B.
  
  Casein amino acids
- C.
  
  Free amino acids
- D.
  
  Immunoglobulins
5.

What substances are generally added to total parenteral nutrition solutions?
- A.
  
  Electrolytes, trace elements, and vitamins
- B.
  
  Antifungal agents, electrolytes, and vitamins
- C.
  
  Electrolytes, antihistamine antagonists, and vitamins
- D.
  
  Citrate preservative, electrolytes, and vitamins
6.

Which of the following is indicated to treat essential fatty acid deficiency?
- A.
  
  50% dextrose
- B.
  
  Branched-chain amino acids
- C.
  
  Lipids
- D.
  
  Selenium
7.

Which one of the following statements accurately reflects principles of peripheral parenteral nutrition?
- A.
  
  Designed for acutely stressed patients.
- B.
  
  Used for therapies of 6 to 12 weeks.
- C.
  
  Crystalline amino acids used are within the 2-5% range.
- D.
  
  Standard dextrose concentration is usually 20%.
8.

The regimen of time for the delivery of cyclic TPN therapy is usually how many hours?
- A.
  
  2-4
- B.
  
  6-10
- C.
  
  8-12
- D.
  
  12-18
9.

Potential TPN-associated metabolic complications include which of the following?
- A.
  
  Sepsis, glucose intolerance, and electrolyte imbalances
- B.
  
  Cachexia, glucose intolerance, and essential fatty acid deficiency
- C.
  
  Lipoid nephrosis, glucose intolerance, and electrolyte imbalances
- D.
  
  Glucose intolerance, electrolyte imbalances, and essential fatty acid deficiency
10.

The reversal of a hyperglycemic, hyperosmolar, nonketotic coma secondary to TPN requires the administration of:
- A.
  
  Anticoagulants
- B.
  
  Histamine blockers
- C.
  
  Insulin
- D.
  
  Sodium lactate
11.

Dry-scaling skin, thinning hair, thrombocytopenia, and liver function abnormalities are clinical manifestations of what condition?
- A.
  
  Essential fatty acid deficiency
- B.
  
  Hyperlipemia
- C.
  
  Hyperosmolar syndrome
- D.
  
  Hypoglycemia
12.

Which of the following filter porosity ratings is appropriate for use with three-in-one nutrient solutions?
- A.
  
  0.22u
- B.
  
  1.2u
- C.
  
  2.5u
- D.
  
  5u
13.

The administration set used for the infusion of TPN solutions should be changed according to what schedule?
- A.
  
  With each container of fluid
- B.
  
  Every 24 hours
- C.
  
  Every 48 hours
- D.
  
  Every 72 hours
14.

Which of the following is a nursing consideration specific to the intravenous administration of lipids?
- A.
  
  Monitoring lipemia clearance on a weekly basis
- B.
  
  Using only central venous access for the infusion
- C.
  
  Testing urine for glycosuria every 6 hours
- D.
  
  Using non-PVC tubing
15.

What is the appropriate area for preparing TPN solutions?
- A.
  
  In the central supply department
- B.
  
  Under a laminar flow hood in the pharmacy
- C.
  
  In a clean medication room on the nursing division
- D.
  
  At the patient's bedside