A client with an exacerbation of ulcerative colitis has been placed on total parenteral nutrition (TPN). The client asks why nutrition is being supplied in this manner and not by mouth. What is the nurse's best response?
A. "TPN contains a high percentage of glucose that is more readily absorbed into the bloodstream than into the ulcerated colon."
B. "TPN will be given in addition to your meals to help you gain any weight that you may have lost through diarrhea."
C. "TPN is considered an elemental formula and, as such, is easier to digest."
D. "TPN will be given during this period to allow your bowel to rest."
D
Bowel rest during severe exacerbations of ulcerative colitis is part of the nonsurgical management of the disease.
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The nurse is explaining to the student nurses the different heart sounds that are assessed during the cardiac assessment. Which statement made by a student indicates understanding of the expected normal heart sounds?
1. "If I hear the S1 as lub and S2 as dub, then that is normal and means that the valves are working." 2. " If I hear a 'lub-dub-ee' it means the client has a ventricular gallop." 3. "If I hear 'dee-lub-dub' then the client may have an atrial gallop. This occurs near the very end of diastole just before S1 and creates the sound." 4. "If I hear the 'dee-lub-dub' sound in an older adult, then I should know that is considered normal for the older client."
The characteristic of percussion sounds that refers to the frequency of the sound's vibrations is
a. duration. c. pitch. b. intensity. d. quality.
A patient with pneumonia has a fever of 101.4° F (38.6° C), a nonproductive cough, and an oxygen saturation of 88%. The patient complains of weakness, fatigue, and needs assistance to get out of bed
Which nursing diagnosis should the nurse assign as the highest priority? a. Hyperthermia related to infectious illness b. Impaired transfer ability related to weakness c. Ineffective airway clearance related to thick secretions d. Impaired gas exchange related to respiratory congestion
The nursing assistant works under the supervision of a ____________________.
Fill in the blank(s) with the appropriate word(s).