A student nurse is caring for a patient who has a diagnosis of acute pancreatitis and who is receiving parenteral nutrition. The student should prioritize which of the following assessments?
A) Fluid output
B) Oral intake
C) Blood glucose levels
D) BUN and creatinine levels
Ans: C
Feedback:
In addition to administering enteral or parenteral nutrition, the nurse monitors serum glucose levels every 4 to 6 hours. Output should be monitored but in most cases it is not more important than serum glucose levels. A patient on parenteral nutrition would have no oral intake to monitor. Blood sugar levels are more likely to be unstable than indicators of renal function.
You might also like to view...
The nurse uses each of the following assessments during the course of every client's care, including: Standard Text: Select all that apply
1. Complete assessment. 2. Focused assessment by body system. 3. Focused assessment of a body part. 4. Fontanel assessment. 5. Pain threshold.
A woman asks her nurse what she can do before she begins trying to get pregnant to help her baby, as she is prone to anemia. What would the nurse correctly advise her to do?
1. Get pregnant, then start iron supplementation. 2. Add more carbohydrates to her diet. 3. Begin taking folic acid supplements daily. 4. Have a hemoglobin baseline done now so her progress can be followed.
The nurse has a routine prescription to administer an injection of phytonadione (vitamin K) to the newborn. Before giving the medication, the nurse explains to the client that this medication will:
1. Prevent clotting abnormalities in the newborn. 2. Stimulate the liver to produce vitamin K. 3. Prevent vitamin deficiency of fat-soluble vitamins. 4. Supplement the infant, because breast milk and formula are low in vitamin K.
What should the nurse do when assisting a pregnant client who is having an abdominal ultrasound to determine fetal age?
1. Has the woman empty her bladder before the test begins 2. Assists the woman into a supine position on the examining table 3. Asks the woman to sign an operative consent form prior to the procedure 4. Instructs the woman to eat a fat-free meal 2 hours before the scheduled test time