what is the most likely complication for a client receiving tpn who suddenly develops tremors dizziness and diaphoresis

ATI RN

ATI Proctored Nutrition Exam 2019

1. What is the most likely complication for a client receiving TPN who suddenly develops tremors, dizziness, and diaphoresis?

A. Fluid volume overload
B. Sepsis
C. Hyperglycemia
D. Hypoglycemia

Correct answer: D

Rationale: The correct answer is D, Hypoglycemia. When a client receiving TPN suddenly develops tremors, dizziness, and diaphoresis, it is indicative of hypoglycemia. TPN provides a high concentration of glucose, and if it is abruptly stopped or the infusion rate is reduced, it can lead to hypoglycemia. Choices A, B, and C are incorrect as they do not directly correlate with the symptoms described in the scenario. Fluid volume overload typically presents with edema and hypertension, sepsis with fever and increased heart rate, and hyperglycemia with polyuria, polydipsia, and blurred vision.

2. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is:

A. Percussion uses only one hand, while vibration uses both hands
B. Percussion delivers cushioned blows to the chest with cupped palms, while vibration gently shakes secretions loose
C. In both percussion and vibration, the hands are not on top of each other, and hand action is not in tune with the client's breath
D. Percussion slaps the chest to loosen secretions, while vibration shakes the secretions along with the inhalation

Correct answer: D

Rationale: Chest percussion involves the use of rhythmic tapping to dislodge mucus from the lungs, facilitating its movement toward the larger airways where it can be expelled. This technique is particularly important in conditions where mucus retention is a significant risk factor for infection. The key difference between chest percussion and vibration is that percussion involves slapping the chest to loosen secretions, while vibration involves shaking the secretions along with the inhalation, aiding in moving the loosened secretions upwards for easier removal. Choices A, B, and C do not accurately describe the main difference between chest percussion and vibration, making them incorrect.

3. A nurse is teaching a client about strategies to prevent constipation. Which of the following statements by the client indicates an understanding of the teaching?

A. Drinking four to five glasses of water per day will prevent constipation.
B. I should consume mineral oil once per day.
C. Eating foods high in fiber will make elimination easier.
D. I can skip a meal if I feel bloated.

Correct answer: C

Rationale: The correct answer is C. Eating foods high in fiber increases stool bulk and promotes easier elimination, thus preventing constipation. Choices A, B, and D are incorrect. Drinking water is important, but the emphasis should be on high-fiber foods. Mineral oil is not a recommended first-line treatment for constipation, and skipping meals can disrupt regular bowel movements, potentially leading to constipation.

4. Each statement is true, except one. Which is the exception?

A. Infant formulas should be discontinued at approximately 1 year of age
B. Low-fat milk is not recommended for children younger than 2 years
C. Special toddler formulas are available but are unnecessary
D. Vitamin D-fortified whole milk should not be provided until 2 years

Correct answer: D

Rationale: The correct answer is D. Vitamin D-fortified whole milk should be provided starting at age 1 after discontinuing breast feeding or infant formulas, not at 2 years. Providing whole milk at age 2 is appropriate. Choices A, B, and C are correct statements: infant formulas are typically discontinued around 1 year of age, low-fat milk is not recommended for children under 2 years, and special toddler formulas are unnecessary.