The nurse is caring for a critically ill patient with pancreatitis. What are the indications for starting parenteral nutrition (PN) for this patient?
A) 5% deficit in body weight compared to preillness weight and inability to consume oral food and fluids
B) 7% deficit in body weight compared to preillness weight and restrictions to a clear liquid diet
C) 10% deficit in body weight compared to preillness weight and inability to consume oral food and fluids
D) 12% deficit in body weight and restrictions to a mechanical soft diet
Ans: C
Feedback: The indications for PN include a 10% deficit in body weight compared to preillness weight, an inability to take oral food or fluids, and hypercatabolic situations. Pancreatitis precludes the ability to enterally or orally feed this patient.
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