Nutrition, Hydration and Electrolytes · NCLEX Exam

What is a key consideration for hydration needs associated with total parenteral nutrition (TPN) in a critically ill patient?

  1. No separate fluid allowance is needed beyond the nutrients
  2. Infuse TPN alone without tracking overall fluid volume
  3. Monitor intake/output and adjust IV fluids for hydration
  4. Always give unrestricted free water along with the TPN
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Correct answer: Monitor intake/output and adjust IV fluids for hydration

TPN may not meet all hydration needs; thus, monitoring fluid balance and adjusting additional fluids are crucial for adequate hydration and electrolyte balance.

Difficulty: Medium Question 7 of 20

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