. Anurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy

suipspdleyilnaygetdheinclient’s next container of TPN. Which of the following fluids should the nurse infuse

onntitlatihne rnext

arrives?

A. Dextrose 5% in water

Rationale: TPN contains high concentrations of certain nutrients. Infusing dextrose

5% in water could cause rapid shifts in serum levels of some substances.

B. 0.9% sodium chloride

Rationale: TPN contains high concentrations of certain nutrients. Infusing 0.9%

sodium chloride could cause rapid shifts in serum levels of some

substances.

C. Dextrose 10% in water

Rationale: TPN contains high concentrations of dextrose and proteins. To avoid

hypoglycemia, the nurse should infuse dextrose 10% or 20% in water

until the next container of TPN solution arrives.

D. Lactated Ringer’s solution

Rationale: TPN contains high concentrations of certain nutrients. Infusing lactated

Ringer’s solution could cause rapid shifts in serum levels of some

substances.

2. A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of

the following statements by the nurse is appropriate?

A. “You should decrease your caloric intake when abdominal pain is present.”

Rationale: Clients who have chronic pancreatitis are at risk for malnutrition and

should increase their caloric intake in order to maintain weight.

B. “You should increase your daily intake of protein.”

Rationale: Clients who have chronic pancreatitis should consume a diet that is high in

protein.

C. “You should increase fat intake when experiencing loose stools.”

Rationale: Clients who have chronic pancreatitis should consume a low-fat diet to

prevent stimulation of the pancreas and steatorrhea.

D. “You should limit alcohol intake to 2-3 drinks per week.”