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A patient is being switched from a standard intravenous (IV) solution to PN. What should the nurse tell the patient about why a largediameter vein needs to be used for the infusion? (Select all that apply.) 1 The fluid is very hyperosmolar. 2 The fluid cannot flow through smaller veins. 3 Peripheral veins become very irritated because of the content of the fluid. 4 The patient will have the infusion for a long time; he will have use of both of his hands without an IV in them.

A patient is receiving an infusion of lipids through his central line. What symptoms might suggest that he or she is experiencing a lipid allergy? 1 Elevated temperature, chills, nausea, and chest pain 2 Respiratory distress, shortness of breath, chest pain, and decreased blood pressure 3 Increased temperature, chills, malaise, and elevated white blood cell count 4 Nausea and vomiting and bleeding and swelling at the insertion site

A patient is receiving a 3:1 PN infusion. How often should the IV infusion tubing be changed? 1 Once a week 2 Every 24 hours 3 Every 72 hours 4 After each solution is administered

What is the main purpose of PN? 1 To provide full nutrient requirements while oral intake is precluded 2 To replace enteral tube feedings 3 To cure metabolic alterations from cancer 4 To obtain additional caloric intake during hospitalization

Which of the following risks is more common with long-term use of PN than short-term PN? 1 Hyperglycemia 2 Hypercholesterolemia 3 Hepatic disease 4 Renal disease

A patient with which of the following is a good candidate for shortterm PN? 1 Anastomotic leak 2 Intestinal obstruction 3 Severe mucositis 4 Severe malnutrition before surgery 5 All of the above

Which of the following patients is a good candidate for long-term PN in the home? 1 Short-bowel syndrome or dysmotility 2 Inadequate food intake 3 Personal preference 4 Limited use of upper extremities because of disease process