<prompt> For which of the following patients is a home total parenteral nutrition TPN program most likely to be useful?an untreatable diseasea 4-day requirement for nutritionshort bowel syndromeneoplasms with bowel obstruction  <response>: Home parenteral nutrition is usually helpful in extreme short-bowel syndrome, chronic obstruction due to adhesions, and severe radiation enteritis. Placement of a central venous catheter, careful calculation of fluid and nutritional requirements, and meticulous monitoring are required in a long-term parenteral nutrition program. 