A patient on mechanical ventilation is receiving total parenteral nutrition (TPN). Which of the following is true?
a. Excessive calorie intake can cause an increase in PaCO2 .
b. The patient's head should remain elevated at 45 degrees to avoid aspiration.
c. Lipid intake should be maintained at greater than 2 g/kg/day.
d. TPN is preferred over the use of enteral feeding to avoid the complication of aspiration.
A
Excessive calorie intake can raise PaCO2 sufficiently to make it difficult to wean a patient from the ventilator. A balanced regimen with both lipids and carbohydrates providing the nonprotein calories is optimal for patients with respiratory compromise, and these patients need to be reassessed continually to ensure that caloric intake is not excessive.
You might also like to view...
An older patient is being admitted to a long-term care facility. What information will the nurse include when conducting a sleep history with this patient? (Select all that apply.)
A) Usual bedtime routine B) Characteristics of sleep C) Amount of daytime drowsiness D) Food and fluids consumed before sleep E) Number of hours doing housework each day
The nurse is caring for a client who is in an immobilization device to prevent movement of the spinal cord following trauma related to a motor vehicle accident
Which of the following accurately describes a key finding related to complications of pressure, which may occur with an immobilization device in place? A) Elevated temperature B) Elevated leukocyte count C) Edema D) Hypotension
Jasmine understands the complexities of all levels of her organization and successfully solves problems that meet the organization's mission. She is using which servant leader behavior?
a. Conceptualizing b. Behaving ethically c. Putting followers first d. Empowering
Does J.T. need a tetanus booster? If so, will he receive a Td or Tdap? Explain your answer,
based on the latest Centers for Disease Control and Prevention (CDC) guidelines. What will be an ideal response?