A client is prescribed peripheral parenteral nutrition. For signs of which complication should the nurse monitor this client?
a. Edema
b. Nausea
c. Diarrhea
d. Thrombophlebitis
d. Thrombophlebitis
Clients who are expected to receive parenteral nutrition for longer than 10 days should do so through a central vein since thrombophlebitis may result from the infusion of a hypertonic solution in a small vein. If infused properly, diarrhea, nausea, and edema are not common side effects of parenteral nutrition since the solution is carefully formulated to contain a balanced amount of nutrients and vitamins.
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The nurse is making an initial assessment of the newborn. Which of the following data would be considered normal?
1. Chest circumference 31.5 cm, head circumference 33.5 cm 2. Chest circumference 30 cm, head circumference 29 cm 3. Chest circumference 38 cm, head circumference 31.5 cm 4. Chest circumference 32.5 cm, head circumference 36 cm
The nurse is preparing to admit an adolescent with encephalitis. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
a. Malaise b. Apathy c. Lethargy d. Hypoactivity e. Hypothermia
Which phase of the inflammatory process is characterized by increased capillary permeability with leakage of large quantities of plasma out of the capillaries into the damaged tissue?
a. stage 1 c. stage 3 b. stage 2 d. stage 4
What will the nurse expect to assess in a patient with respiratory failure and hypoxemia?
1. Exertional dyspnea, circumoral cyanosis, distal cyanosis 2. Subcutaneous emphysema, absent breath sounds, sharp chest pain 3. Agitation, disorientation, lethargy, chest pain 4. Rales, distended neck veins, orthostatic hypotension