Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A patient is receiving Total Parenteral Nutrition secondary to acute pancreatitis. The nurse is about to administer insulin when the patient states, “Why am I getting insulin? I’m not diabetic.” To facilitate learning and understanding, the nurse should respond correctly by stating:
  1. “This type of infection stops the production of insulin.”
  2. “The TPN solution interferes with the production of insulin.”
  3. “The TPN solution contains a high amount of glucose.”
  4. “The infection in your pancreas is causing too much insulin to be produced.”
Explanation
Answer - C - To facilitate learning and understanding, the nurse should respond correctly by stating “The TPN solution contains a high amount of glucose.” TPN is used to maintain nutritional status and prevent malnutrition when the patient is unable to be fed orally by tube feeding. Glucose is used to supply energy and caloric needs and usually accounts for 50% to 70% of the nutrient prescription.
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