In order to meet the patient's nutritional needs during a critical illness with sepsis, the nurse knows that:
1. TPN is the preferable means to administer nutrition.
2. Nutritional needs are usually addressed after 72 hours in order to conserve energy expenditure.
3. Enteral feedings are often avoided because hyperglycemia often results from feedings.
4. Enteral feedings prevent translocation of bacteria from the gastrointestinal tract.
4
Rationale 1: TPN increases the chances of hyperglycemia as well as bloodstream infections due to the high dextrose content.
Rationale 2: Nutritional needs should be met early to promote healing, ideally before 72 hours from the time of admission.
Rationale 3: Enteral feedings are the preferred method of meeting nutritional needs because they prevent translocation of bacteria from the gastrointestinal tract.
Rationale 4: Enteral feedings are the preferred method of meeting nutritional needs because they prevent translocation of bacteria from the gastrointestinal tract.
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The nurse observes a school-age child categorize specific desk and clothing items in his hospital room. What cognitive behavior has this child mastered?
A) Decentering B) Conservation C) Class inclusion D) Accommodation
The nurse manager has been charged with evaluating and determining if the current system of team nursing is efficient and cost effective for the unit
Which of the following statements supports the cost-effectiveness of team nursing on this unit? 1. Team nursing is cost-effective since it allows for the use of unlicensed assistive personnel to provide care delegated by the registered nurse. 2. The Institute of Medicine's 2004 report Keeping Patients Safe identified team nursing as being the most cost-effective care delivery system. 3. Research conducted by Aiken, Buerhaus, Kramer, and Needleman concludes that team nursing is the most cost-effective care delivery system. 4. Managed care organizations provide financial incentives to institutions that use team nursing as a means to decrease the high cost of registered nurse salaries.
A patient receiving cyclosporine after an organ transplant is experiencing an acute onset of hypertension and headaches. What should these assessment findings suggest to the nurse?
A. These are signs of impending transplanted organ failure. B. The transplanted organ is beginning to function. C. These are signs of toxicity. D. This is a normal reaction to the medication.
Which statement describes a use of intravenous therapy?
A. loss of blood, body water, electrolytes, and nutrients B. administer medications in a life-threatening emergency C. fluid volume maintenance and replacement therapy D. All answers are correct.