Which interventions would the nurse perform to help prevent bacterial translocation in a patient who has suffered a severe burn injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Administer glutamine as ordered.
2. Administer enteral feedings as ordered.
3. Administer potassium as ordered.
4. Monitor arterial blood gases.
5. Monitor creatinine.
1,2
Rationale 1: Glutamine is a dietary supplement that has been demonstrated to partially reverse the gut atrophy implicated in bacterial translocation.
Rationale 2: Early enteral feeding is thought to prevent or reduce bacterial translocation.
Rationale 3: Potassium imbalance is not implicated in bacterial translocation.
Rationale 4: The respiratory system is not involved in bacterial translocation.
Rationale 5: Kidney function is not involved in bacterial translocation.
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Which therapeutic approach by the nurse involves the use of personal awareness in order to carry out the steps of the nursing process?
1. Use of self 2. Use of empathy 3. Use of open-ended questions 4. Use of therapeutic communication
The nurse is caring for a client who is extremely dependent on the approval of others, causing them to discount their own needs. The nurse recognizes that the client is demonstrating
a. self-differentiation. b. emotional cutoff. c. poor self-differentiation. d. rigid boundaries.
Before a case goes to court, the attorney will make an effort to understand and obtain all the facts surrounding a situation-for example,
other staff who were working with the client, anyone who might have had access to the client's information, and the client's mental status and condition. This is referred to as which of the following? 1. Burden of proof 2. Complaint 3. Discovery 4. Civil action
A teenager has had surgery to repair a ligament. She is on an aggressive physical therapy regimen. She is experiencing pain. During her physical therapy, the nurse instructs her on relaxation techniques. This health promotion activity allows for
A) Decreased infection B) Increased flexion C) Stress management D) Decrease risk