GAITH Total Parenteral Nutrition (TPN)

Question 1

621. A 16-year-old girl was found unconscious in her home by her mother. She brought to the hospital by
     ambulance. The patient has no previously known medical history. On arrival, the nurse performs an assessment
     for Level of consciousness and notes a Glasgow Coma Score of five. The nurse notes the patient’s breathe smells
     like acetone or fingernail paint remover. What is the priority therapeutic goal?
     A. Increase blood glucose
     B. Increase serum osmolarity
     C. Increase circulatory volume
     D. Decrease intracranial pressure

Answer 1

C

Question 2

622. patient has a defect with the beta cells of the Islet of Langerhans. Which of the following should the nurse
     most likely expect this patient to exhibit?
     A. Anemia
     B. Appendicitis
     C. Cholelithiasis
     D. Hyperglycemia

Answer 2

D

Question 3

623. The nurse is planning care for several children who were admitted during the shift. Daily weights should be
     the plan of care for the child who is receiving:
     A. Total parenteral nutrition (TPN)
     B. Supplement oxygen
     C. Intravenous anti-ineffective
     D. Chest physiotherapy

Answer 3

A

Question 4

624. A nurse has just started total parenteral nutrition (TPN) as prescribed
     for a patient with severe dysphagia low prealbumin levels. In one to two hours, the nurse should anticipate
     assessing the patient’s:
     A. Blood glucose level
     B. Weight
     C. Liver
     D. Spo2

Answer 4

A

Question 5

625. client with type 1 diabetes mellitus is admitted in which medication if found by the nurse in the should be
     clarified with the physician?
     A. Humalog (lispro) sliding scale before meals
     B. Glargine (Lantus) 10 units subcutaneously
     C. Metformin (Glucophage) 500 mg per oral
     D. Dextrose 50% ampule intravenous push for 50 mg/dL

Answer 5

C

Question 6

626. 28-year-old male is recovering from a moderate concussion following a motor vehicle accident 2 weeks ago,
     when he suddenly develops an increased thirst, craving Coldwater. The patient urinates very large amount of
     dilute, water like urine with specific gravity of 1.001 to 1.005 the patient is MOST likely developing
     A. Diabetic mellitus
     B. Diabetic insipidus
     C. Hypothyroidism

Answer 6

B