The nurse is preparing to administer enteral nutrition to a patient who has had a stroke and who cannot swallow. A family member asks why the patient isn't receiving intravenous nutrition
What information will the nurse provide to the family member?
a. Parenteral nutrition carries a higher risk of infection.
b. Parenteral nutrition does not provide sufficient calories.
c. Parenteral nutrition increases the risk of aspiration.
d. Parenteral nutrition is hyperosmolar and increases the risk of dehydration.
ANS: A
Total parenteral nutrition (TPN) carries a greater risk of sepsis than enteral nutrition. TPN can provide sufficient calories, and there is no increased risk of aspiration with TPN. TPN does not increase the risk of dehydration.
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You are admitting an elderly woman who is accompanied by her husband. The husband wants to know where the information you are obtaining is going to be kept and you follow up by describing the system of electronic health records
The husband states, "I sure am not comfortable with that. It is too easy for someone to break into computer records these days." What is your best response? A) "The Institute of Medicine has called for the implementation of the computerized health record so all hospitals are doing it." B) "We've been doing this for several years with good success, so I can assure you that our records are very safe." C) "This hospital is as concerned as you are about keeping our patients' records private. So we take special precautions to make sure no one can break into our patients' medical records." D) "Your wife's records will be safe, because only people who work in the hospital have the credentials to access them."
To allow the cardiac surgeon to work in a bloodless surgical field during cardiac surgical procedures and to maintain perfusion of body organs and tissues, a technique often used is:
A) CABG B) PTCA C) Atherectomy D) Cardiopulmonary bypass
Nursing intervention research involves phases for complex interventions. Which of the following indicates the correct order of these phases?
A) Effectiveness research, basic developmental research, pilot research, efficacy research B) Basic developmental research, effectiveness research, pilot research, efficacy research C) Pilot research, effectiveness research, basic developmental research, efficacy research D) Basic developmental research, pilot research, efficacy research, effectiveness research
For a patient with peripheral venous insufficiency, which of the following interventions would help to promote peripheral circulation?
1) Have the patient sit in a recliner, with legs lower than the heart. 2) Teach the patient to avoid sitting with the legs crossed. 3) Be sure intravenous medications are adequately diluted. 4) Regularly assess skin color and temperature of the legs.