Which patient is most likely to be a candidate for total parenteral nutrition (TPN) rather than enteral nutrition?
a. A patient who is comatose after having had a stroke
b. A patient who has a fractured mandible following a motor vehicle accident
c. A patient who has cerebral palsy and severe dysphagia
d. A patient who is pregnant and has intractable hyperemesis gravidarum
ANS: D
The patient who is vomiting will be unable to tolerate enteral nutrition. Enteral feedings require a functioning gastrointestinal tract. TPN is more costly and does not carry significant benefits when compared with risks, so it should only be used when enteral nutrition cannot be used.
You might also like to view...
On the 1 AM rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep
Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient's response to the hypnotic as A) an allergic reaction. B) an idiosyncratic response. C) a synergistic effect. D) a teratogenic effect.
Which term means the energy use of each cell and the work performed by the body?
a. Goiter b. Menarche c. Metabolism d. Thyrotoxicosis
A parent complains that his child "won't tie her shoes even though she's capable of doing it.". Which response by a nurse is most therapeutic?
a. "Why is it so important to you that she tie her shoes?" b. "What have you done to try to encourage her to tie her shoes?" c. "Let your daughter go with her shoes untied. Don't you think she will soon tire of tripping over her shoelaces?" d. "It sounds as if your daughter is seeking attention. How much quality time do you typically spend with her each day?"
Which would be an expected outcome for a client with the nursing diagnosis Self-Care Deficit related to cognitive impairment?
1. The client will be able to name the staff that works on the day shift. 2. The client will eliminate safety hazards in her environment. 3. The client, with supervision, will brush her teeth. 4. The nurse will stress the importance of adequate fluid intake.