A client receiving total parenteral nutrition for 3 days becomes disoriented and removes her intravenous line. A new line cannot be inserted for 2 to 3 hours. The nurse should monitor the client for:

a. hypoglycemia.
b. infection.
c. air embolism.
d. hyperglycemia.


ANS: A
Abruptly discontinuing TPN can lead to hypoglycemia.

Nursing

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ANS:

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A 29-year-old female patient has sinusitis, so the physician orders a topical nasal decongestant. What instructions should be given?

A) Avoid becoming pregnant during decongestant therapy. B) Increase fluids to 2 L/d. C) Restrict fluids to 500 mL/d. D) Take the medication with meals.

Nursing

What diagnostic test allows visualization of renal parenchyma and renal pelvis without exposure to external-beam radiation or radioactive isotopes?

a. Renal ultrasonography b. Computed tomography c. Intravenous pyelography d. Voiding cystourethrography

Nursing

Answering a series of specific questions can help a nurse determine if intervention is needed in a specific situation. Which question should be answered while providing care?

A) "Why did the physician change the medication order?" B) "What can I do to detect potential complications?" C) "What can happen if I don't order a repeat laboratory test?" D) "What part of the body will be affected most?"

Nursing