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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?

A.

Diarrhea

B.

Hypoglycemia

C.

Hypovolemia

D.

Erythema at the site

Answer and Explanation

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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View Related questions

Correct Answer is B

Explanation

A. Topical ointment has a slower onset as it must be absorbed through the skin before it can exert its effects.

B. Sublingual nitroglycerin provides rapid relief of angina symptoms because it is absorbed quickly into the bloodstream through the mucous membranes in the mouth, allowing for an immediate effect.

C. Transdermal patches release nitroglycerin slowly over time, leading to a delayed onset of action.

D. Sustained-release formulations are designed for prolonged effects rather than rapid onset, making them slower to take effect compared to sublingual administration.

Correct Answer is A

Explanation

A. Estrogen blockers can increase the risk of thromboembolic events, including deep vein thrombosis and pulmonary embolism, which the nurse should caution the client about.

B. Tendon rupture is more commonly associated with certain antibiotics and corticosteroids, not typically with estrogen blockers.

C. Photosensitivity is not a common side effect associated with estrogen blockers; it is more related to specific antibiotics or other medications.

D. While some malignancies can be linked to immunosuppressive therapies, the direct risk of lymphomas is not typically associated with estrogen blockers.

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