A client is receiving Total Parenteral Nutrition (TPN) while admitted in the inpatient setting. Which of the following conditions can occur if the nurse abruptly stops TPN?
Diarrhea
Hypoglycemia
Hypovolemia
Erythema at the site
The Correct Answer is B
A. Diarrhea is not a direct risk of stopping TPN abruptly.
B. Abruptly stopping TPN can cause hypoglycemia because the high glucose content in TPN leads to increased insulin production. Without the continuous glucose infusion, blood sugar levels can drop rapidly.
C. Hypovolemia is not a common outcome from stopping TPN suddenly.
D. Erythema at the site is unrelated to the cessation of TPN and more commonly related to local site reactions or infection.
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Correct Answer is B
Explanation
A. Carvedilol is a beta-blocker that is often used in hypertension management but is not considered a first-line treatment.
B. Lisinopril, an ACE inhibitor, is a first-line treatment for hypertension due to its effectiveness and safety profile, making it a common choice for initial therapy.
C. Doxazosin is an alpha-1 blocker that can be used for hypertension but is not typically a first-line treatment due to the risk of side effects like hypotension.
D. Clonidine is a central alpha agonist used in certain situations for hypertension but is not considered a first-line therapy due to potential adverse effects and sedation.
Correct Answer is C
Explanation
A. Morphine is a category C medication, which means it may be used if the benefits outweigh the risks; it is not contraindicated in pregnancy.
B. Famotidine (Pepcid) is also a category B medication and is generally considered safe to use during pregnancy.
C. Misoprostol (Cytotec) is classified as category X due to its association with causing uterine contractions and the potential for fetal harm; thus, it should be avoided during pregnancy.
D. Ibuprofen (Advil) is a category C medication, and while it is not typically recommended in the third trimester, it is not classified as category X.