In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of total parenteral nutrition in order to:. As discussed previously in the section " Providing Client Nutrition Through Continuous or Intermittent Tube Feedings ", clients who are not able to get sufficient calories and nutrition are given enteral nutrition through a nasointestinal tube, a nasojejunal tube, a nasoduodenal tube, a jejunostomy tube, a gastrostomy tube, or a percutaneous endoscopic gastrostomy PEG tube. Although parenteral nutrition is more costly than enteral nutrition and it also poses a greater risk in terms of infection, it is sometimes indicated when enteral nutrition is contraindicated for the client, when the client is at high risk for aspiration, when the client has a gastrointestinal tract obstruction that would interfere with an enteral tube feeding, and when the client's gastrointestinal tract is not functioning in a manner that can accommodate a less costly and lower risk enteral feeding rather than total parenteral nutrition, which is often referred to as hyperalimentation. Hyperalimentation places the client at high risk for infection for two major reasons; hyperalimentation is an invasive procedure and the hyperalimentation solution contains a high percentage and amount of dextrose. Clients should be educated and instructed about the purpose of TPN, their need for TPN, the procedure that will be used to insert the TPN catheter, how the total parenteral nutrition feedings will be delivered, how the nurse will care for and maintain these feedings, the necessity to use sterile technique, and the risks, including the complications, of total parenteral nutrition, as discussed immediately above.
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Pediatric Safe Dosage Calculations Quiz
Drug information provided by: IBM Micromedex. Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This medicine comes with a patient information insert. Read and follow the instructions in the insert carefully.
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