A patient is having complications from abdominal surgery and remains NPO. Because enteral tube feedings are not possible, the decision is to initiate parenteral feedings. What are the major complications for this therapy?
a. Aspiration pneumonia and sepsis
b. Fluid and electrolyte imbalances and sepsis
c. Fluid overload and pulmonary edema
d. Hypoglycemia and renal insufficiency
B
Because of the high dextrose concentration, including the fluid and electrolyte content, the patient is placed at high risk for sepsis and fluid and electrolyte imbalances. Aspiration pneumonia is a potential complication of enteral feedings; sepsis is a potential complication of parenteral nutrition. Fluid overload is possible but unlikely and is not a major complication of parenteral nutrition. Hyperglycemia is more of a concern than hypoglycemia with parenteral nutrition; however, renal insufficiency is not related to parenteral nutrition.
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Positive patient outcomes are the ultimate goal of nurse–patient interactions, regardless of the particular setting. Which of the following factors has the most direct influence on positive patient-care outcomes?
A) Patient's age B) Patient's ethnic heritage C) Health education D) Outcome evaluation
Which of the following is a sign of illness in the newborn?
a. More than two soft stools per day b. Regurgitating a small amount of feeding c. A yellow scaly lesion on the scalp d. An axillary temperature greater than 100° F
You are interviewing an elderly woman in the ambulatory setting and trying to get more information about her urinary symptoms. Which of the following techniques is not a component of adaptive questioning?
A) Directed questioning: starting with the general and proceeding to the specific in a manner that does not make the patient give a yes/no answer B) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to worry about it being a sign of cancer C) Offering the patient multiple choices in order to clarify the character of the urinary symptoms that she is experiencing D) Asking her to tell you exactly what she means when she states that she has a urinary tract infection
An individual is seeking treatment for bulimia nervosa. The therapist decides to use cognitive behavioral therapy and medication. For what medication can a nurse expect to develop a patient education program?
a. A selective serotonin reuptake inhibitor (SSRI), such as escitalopram (Lexapro) b. A mood stabilizer, such as lithium c. A calcium channel blocker, such as nifedipine (Procardia) d. An antianxiety medication, such as buspirone (Buspar)