a client receiving total parenteral nutrition tpn suddenly develops tremors dizziness and diaphoresis the client said i feel weak and the bag was empt

ATI RN

Nutrition ATI Test

1. A client receiving total parenteral nutrition (TPN) suddenly develops tremors, dizziness, and diaphoresis. The client said, 'I feel weak and the bag was empty.' Which is the most likely complication the client is currently experiencing?

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

Correct answer: D

Rationale: The client experiencing tremors, dizziness, diaphoresis, weakness, and stating that the TPN bag is empty is likely experiencing hypoglycemia. Hypoglycemia can occur when the TPN infusion suddenly stops, leading to a rapid drop in blood sugar levels. Symptoms of hypoglycemia include tremors, dizziness, diaphoresis, and weakness. Choices A, B, and C are incorrect as the symptoms presented are more consistent with hypoglycemia rather than fluid volume overload, sepsis, or hyperglycemia.

2. To raise HDL levels, what is Mrs. Smith advised to do?

A. quit smoking
B. increase dietary sodium
C. take iron supplements
D. avoid dairy products

Correct answer: A

Rationale: The correct answer is A: quit smoking. Smoking lowers HDL levels, so quitting smoking is crucial to raising HDL levels. Increasing dietary sodium (choice B) is not linked to raising HDL levels and can have negative effects on cardiovascular health. Taking iron supplements (choice C) is not directly related to increasing HDL levels. Avoiding dairy products (choice D) is not necessary to raise HDL levels; in fact, some dairy products like low-fat options can be part of a heart-healthy diet.

3. Which substance would most likely need to be restricted in patients with heart failure who use diuretics to help reduce fluid retention?

A. potassium
B. magnesium
C. sodium
D. chloride

Correct answer: C

Rationale: Sodium restriction is crucial in heart failure management to prevent fluid retention, which can worsen symptoms of heart failure.

4. Although a balanced diet is essential for tissue healing and repair, which of the following should the dental hygienist identify as the nutrient of highest priority for a patient with gingivitis or periodontal disease?

A. Carbohydrates
B. Vitamin C
C. Vitamin D
D. Monosaccharides

Correct answer: B

Rationale: Vitamin C is crucial for collagen production and connective tissue repair, making it a key nutrient for healing gingival tissues in patients with gingivitis or periodontal disease. Carbohydrates are a source of energy and not directly related to tissue repair. Vitamin D is important for bone health but is not the highest priority for gingival tissue healing. Monosaccharides are simple sugars and not as essential for tissue repair as Vitamin C.

5. Almost all (99%) of the calcium in the body is used for?

A. regulating the transmission of nerve impulses
B. providing energy for cells
C. providing rigidity for the bones
D. regulating muscle contraction

Correct answer: C

Rationale: The correct answer is C: providing rigidity for the bones. Almost all of the calcium in the body is utilized for maintaining the strength and structure of bones and teeth. Calcium plays a crucial role in skeletal health by providing rigidity and support to the skeletal system. Choices A, B, and D are incorrect because while calcium is essential for various physiological functions like nerve transmission, cell energy production, and muscle contraction, the majority of calcium in the body is primarily allocated for bone health.