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Julia Reynolds Is a 64-Year-Old Realtor

Question 77

Multiple Choice

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy. Upon admission, Julia tells her nurse that she has a lot of fear in regards to nutrition support due to a "vein blowout" at a previous admission. What is the most likely cause of this incident?


A) high glucose in the TPN
B) low amino acids in the TPN
C) low vitamin K in the PPN
D) high osmolarity of the PPN

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