An infant with short bowel syndrome will be on total parenteral nutrition (TPN) for an extended period of time. What should the nurse monitor the infant for?
a. Central venous catheter infection, electrolyte losses, and hyperglycemia
b. Hypoglycemia, catheter migration, and weight gain
c. Venous thrombosis, hyperlipidemia, and constipation
d. Catheter damage, red currant jelly stools, and hypoglycemia
ANS: A
Numerous complications are associated with short bowel syndrome and long-term TPN. Infectious, metabolic, and technical complications can occur. Sepsis can occur after improper care of the catheter. The gastrointestinal tract can also be a source of microbial seeding of the catheter. The nurse should monitor for catheter infection, electrolyte losses, and hyperglycemia. Hypoglycemia, weight gain, constipation, or red currant jelly stools are not characteristics of short bowel syndrome with extended TPN.
You might also like to view...
The nurse is performing a physical examination of an 8-year-old girl who was bitten by her kitten. Which of the following assessments would lead the nurse to suspect cat-scratch disease?
A) Swollen lymph nodes B) Strawberry tongue C) Infected tonsils D) Swollen neck
Which laboratory value in a client alerts the nurse to the probability of sickle cell disease?
A. Hgb A1: 97% B. Hgb F: 1.5% C. Hgb C: 0% D. Hgb S: 65%
Enkephalins and endorphins act to relieve pain by which process?
a. Inhibiting cells in the substantia gelatinosa b. Stimulating the descending efferent nerve fibers c. Attaching to opiate receptor sites d. Blocking transduction of nociceptors
Which position is most likely to require the use of stirrups?
A) Dorsal lithotomy B) Supine C) Sims' D) Knee-chest