Scribd
Upload
11 views21 pages

TPN and Post-Op Nursing Interventions

The document consists of a series of clinical questions related to patient care, particularly focusing on Total Parenteral Nutrition (TPN), post-operative care, and suctioning techniques. Each question presents a scenario with multiple-choice answers, highlighting key nursing interventions and assessments. The content is aimed at evaluating knowledge and decision-making skills in a clinical setting.

Uploaded by

femz28
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
11 views21 pages

TPN and Post-Op Nursing Interventions

The document consists of a series of clinical questions related to patient care, particularly focusing on Total Parenteral Nutrition (TPN), post-operative care, and suctioning techniques. Each question presents a scenario with multiple-choice answers, highlighting key nursing interventions and assessments. The content is aimed at evaluating knowledge and decision-making skills in a clinical setting.

Uploaded by

femz28
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Post test

1. A patient on TPN develops sudden


SOB and cyanosis. What is the priority
action?

• a. Stop TPN and clamp the catheter


• b. Reposition the patient to high Fowler’s
• c. Notify the physician
• d. Assess blood glucose
2. While on TPN, hyperglycemia
occurs. What is appropriate?

• a. Administer insulin
• b. Increase rate
• c. Flush with D10
• d. Stop abruptly
3. Which finding shows TPN
effectiveness?

• a. Weight gain 2kg/day


• b. ↓Albumin
• c. Improved energy and wound healing
• d. ↑Urine output
4. TPN ran out. What to hang
temporarily?
• a. NSS
• b. D5W
• c. LR
• d. D10W
5. TPN sepsis sign?

• a. Bradycardia
• b. Fever, chills, ↑WBC
• c. Hypothermia
• d. Flushed skin
6. Post-cholecystectomy shoulder pain
relief?

• a. Extra analgesic
• b. Lie flat
• c. Ambulate and warm compress
• d. Avoid deep breathing
7. Which post-chole finding to report?

• a. 50mL serosanguineous
• b. Mild tenderness
• c. Jaundice, dark urine
• d. ↓Appetite
8. Maintain JP suction by:

• a. Bulb expanded
• b. Compress bulb and close plug
• c. Clamp drain
• d. Flush q4h
9. Problem with JP drain?

• a. ↓Drain output over time


• b. Full bulb, no drainage
• c. Serous output
• d. Mild discomfort
10. Correct JP care statement?

• a. Pull if clogged
• b. Compress after emptying
• c. Keep above abdomen
• d. Stop if cloudy
11. Urolithiasis flank pain
intervention?
• a. Restrict fluids
• b. Warm compress
• c. High Ca diet
• d. Semi-Fowler
12. Post-stone removal care?

• a. Limit fluids
• b. Encourage 2–3L/day
• c. Avoid citrus
• d. Bed rest 1 week
13. Avoid which food for Ca oxalate
stones?
• a. Milk
• b. Spinach
• c. Rice
• d. Eggs
14. Lithotripsy finding to report?

• a. Pink urine
• b. 50mL/hr output
• c. Clots + flank pain
• d. Cloudy urine
15. Proper suctioning technique?

• a. Suction on insertion
• b. Limit 10–15 sec
• c. Sterile gloves oral
• d. Oxygenate after
16. HR drops during suctioning. Do
what?

• a. Continue
• b. Stop, oxygenate
• c. Call MD
• d. Increase pressure
17. Student error in suctioning?

• a. Preoxygenate
• b. Rotate withdrawal
• c. 20s suction
• d. Aseptic
18. Crackles post-suctioning. Do what?

• a. Repeat suction
• b. ↑Pressure
• c. IV fluids
• d. Document only
19. Retained bile stones sign?

• a. Distention
• b. Pale stool, dark urine
• c. ↓Appetite
• d. Mild pain
20. Which TPN order clarify?

• a. Lipid via same line


• b. Central line
• c. Change tubing 24h
• d. Start 50% rate

You might also like