A patient is prescribed a hypertonic solution with vitamins and minerals to be administered through a peripheral intravenous access line. The nurse recognizes this as being what treatment?
1. intravenous fluid support
2. total parenteral nutrition
3. enteral nutrition
4. short-term total parenteral nutrition
Correct Answer: 4
A peripherally-inserted central catheter (PICC) line may be used for short-term TPN. Total parenteral nutrition (TPN) should be administered through a central vein. Enteral nutrition is delivered directly into the gastrointestinal system. A hypertonic solution with vitamins and minerals is not the usual intravenous fluid mixture for fluid support.
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A patient has questioned the nurse's administration of IV normal saline, asking whether sterile water would be a more appropriate choice than "saltwater." Under what circumstances would the nurse administer electrolyte-free water intravenously?
A) Never, because it rapidly enters red blood cells, causing them to rupture. B) When the patient is severely dehydrated resulting in neurologic signs and symptoms C) When the patient is in excess of calcium and/or magnesium ions D) When a patient's fluid volume deficit is due to acute or chronic renal failure
The nurse is helping a patient with schizophrenia develop an exercise plan. The patient has obtained medical clearance for walking and light exercise. Which nursing interventions are the most appropriate? Select all that apply
1. Assess medication adherence. 2. Assess patient confidence level. 3. Provide memory prompts. 4. Provide reality orientation. 5. Assess body mass index.
A patient taking finasteride (Proscar) informs the nurse that he is also taking the herbal supplement saw palmetto. What is the nurse's best response?
a. "You should not take finasteride and saw palmetto at the same time." b. "Finasteride and saw palmetto taken together increase your risk of bleeding." c. "Be sure to notify your prescriber if you notice any unusual side effects." d. "Avoid people with viral infections while taking these two substances."
Which of the following factors is contributing to the shortage of nurses in Canada, according to studies done by the Canadian Nurses Association (1997, 2002)?
a. Increased birth rate creating a greater demand for nursing services b. New technology replacing nurses at the bedside c. Fewer people wishing to practice as nurses, because health trends are focusing on natural and alternative therapies d. A large percentage of nurses retiring in the next two decades