The nurse is verifying the contents of a parenteral nutrition formula before beginning a new bag on the client. Which of the following ingredients would be a reason to call the physician and clarify the order?
A) Dextrose B) Amino acids C) Vitamins D) Galactose
D
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The carbohydrate used in parenteral solutions in the United States is dextrose monohydrate. Galactose is not used.
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A nurse caring for a paralyzed patient who has been diagnosed with reflex incontinence should include which of the following preventative measures in the teaching plan with this patient?
A) Regular perineal care to prevent skin breakdown B) Kegel exercises to strengthen the pelvic floor C) Small frequent meals D) Limited fluid intake to prevent incontinence
An adult patient with third-degree AV block is on continuous cardiac monitoring. The EKG will show which of the following rhythm characteristics?
A) PP interval and RR intervals are irregular B) PP interval equal to RR interval C) Fewer QRS complexes than P waves D) PR interval constant
The nurse explains to a family that it is not possible to determine the extent of a patient's burns after an accidental electrocution
What rationale does the nurse provide for this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Much of the damage done by electrical burns is beneath the surface. 2. The temperature of electrical energy can exceed 180°F. 3. The injury that is initiated by electrical energy does not stop when the current is interrupted. 4. The energy causing the burn affects rapidly dividing cells, which makes damage variable. 5. Electrical burns cause the same tissue response as alkali chemicals.
The nurse should include which of the following recommendations in a teaching plan related to nutrition and hydration for a patient who has AIDS? (Select all that apply.)
a. Avoid Caesar salad. b. Avoid soft cheeses. c. Avoid all beers and all soft drinks. d. Cook red meat until internal temperature is 165°F with no trace of pink. e. Avoid leftovers or heat until steaming. f. Avoid public drinking fountains.