The nurse is caring for a patient with severe burns who will begin receiving total parenteral nutrition (TPN). The patient asks why TPN is necessary. The nurse explains that TPN is used for which reason?
a. To minimize pulmonary complications
b. To prevent hyperglycemia and fluid overload
c. To promote wound healing and maintain cell integrity
d. To restore fluid and electrolyte imbalance
ANS: C
TPN is indicated for patients with severe burns who are in negative nitrogen balance. TPN enhances wound healing and provides the nutrients necessary to prevent cellular catabolism. While some pulmonary complications, such as aspiration pneumonia, do not occur with TPN, there is a risk of air embolism. Hyperglycemia and fluid overload may occur.
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