A nurse who is caring for a client receiving total parentral nutrition (TPN) must be careful to:
1. Follow the facility protocol for tapering TPN and monitor the input and output for the client each shift.
2. Decrease the amount of TPN slowly based on the oral intake of the patient.
3. Follow the facility protocol for tapering TPN, especially monitoring blood sugar levels.
4. Stop TPN in the morning and resume oral feeding beginning with clear liquids.
3
Rationale: Each facility has a protocol or policy for tapering TPN that must be followed closely. TPN must be tapered slowly since sudden cessation of high dextrose solutions can lead to hypoglycemia and can be life threatening. Therefore, careful monitoring of blood sugar is important. TPN should never be stopped abruptly.
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Reassurance can be given to a critical care patient in the form of
A) instruction and guidance. B) presenting and touching. C) offering personal opinions and past experiences. D) dialogue and encouragement.
Tuberculosis responds well to long-term treatment with a combination of three or more antitubercular drugs. Which of the following is true regarding the duration of treatment for clients with tuberculosis? Select all that apply
A) The initial treatment phase should last for a minimum of 2 months. B) The initial treatment phase should last for a maximum of 2 months. C) The continuation treatment phase should last for 4 to 7 months. D) The continuation treatment phase should last for 6 to 12 months. E) Prophylactic treatment should be given for 6 to 9 months.
The patient is scheduled for a colonoscopy at 10 AM today. The effectiveness of the nurse's teaching for this procedure is verified by the following statement by the patient:
1. "I know that the lighted tube he will use will help the doctor look at my tumor and he might take a small piece of tissue to look at in the lab." 2. "I know that light on the tube will help to cure my cancer for me." 3. "I know colonoscopy is very painful and embarrassing and I hope no one sees me in that position." 4. "My daughter is coming in to see me today. I am glad to be looking forward to something pleasant."
A nurse evaluates a smoking cessation program, the gained or increased financial income, the im-provements in the community attributable to the program, and the costs that would result if the program was not offered
Which of the following best describes the action of the nurse? a. Cost-effectiveness analysis b. Cost-benefit analysis c. Supply and demand d. Microeconomic theory