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Evolve Nutrition Practice Exam
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What does total parenteral nutrition (TPN) provide for a client who is NPO due to acute pancreatitis?
Increased fat intake
Total liquid diet
Nutritional needs without causing discomfort
Essential vitamins only
Reveal Answer
Correct Answer:
Nutritional needs without causing discomfort
Explanation:
Total parenteral nutrition (TPN) is a medical nutrition therapy administered intravenously to provide complete nutrition to individuals who cannot eat or absorb food through the gastrointestinal tract. In cases like acute pancreatitis, where a patient is NPO (nil per os or nothing by mouth), TPN becomes essential for maintaining nutritional status without triggering further gastrointestinal distress. The choice indicating that TPN provides nutritional needs without causing discomfort is accurate because TPN delivers macronutrients (proteins, fats, and carbohydrates) and micronutrients (vitamins and minerals) directly into the bloodstream. This bypasses the gastrointestinal system entirely, which is crucial for someone with acute pancreatitis who may be experiencing pain or discomfort with oral intake or other forms of enteral nutrition. By avoiding irritation to the pancreas and allowing it to rest, TPN enables the body to receive necessary calories and nutrients paradoxically without causing discomfort. In contrast, while TPN does provide fat and other nutrients, it is not simply an increased fat intake, nor is it a total liquid diet since it is entirely intravenous and not related to conventional oral or liquid intake. It also goes beyond merely supplying essential vitamins, as TPN is designed to meet the full spectrum of nutritional needs comprehensively. Overall, T
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