A patient with anorexia nervosa requires parenteral nutrition support. This patient demonstrates signs of marasmus. What intervention should the nurse make to prevent a complication for which this patient is at increased risk?
A) Limiting of initial dextrose dosing
B) Depletion of potassium before TPN initiation
C) Proper hand hygiene
D) Change of TPN solution bag every 24 hours
A
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A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?
a. "Please let me know when you start to have pain." b. "Let's practice some guided imagery." c. "Let's try repositioning you." d. "I will only medicate you every 4 hours."
The patient is receiving sodium chloride 0.45% by IV infusion. If the fluid is infused beyond the patient's tolerance, the patient is at risk for
a. cardiac overload c. cellular dehydration b. water intoxication d. increased osmotic pressure
The nurse is caring for an older adult client who has reported symptoms suggestive of depression. Which of the following questions asked by the nurse is most therapeutic in assessing the client's perception of the impact depression has had on her life?
1. "What does it mean to be depressed?" 2. "How does being depressed make you feel?" 3. "Were you happy before becoming depressed?" 4. "What makes you think that you are depressed?"
A nurse is teaching a medication class to a group of psychiatric clients. One of them asks, "Why am I having so much more trouble learning now that I am 60 than I did when I was younger?"
Which of the following concepts would the nurse integrate into the response? A) The extrapyramidal motor system B) The amygdala C) Neuroplasticity D) Psychoneuroimmunology