Would you give Mrs. M I.V. lipids? Why or why not?
Yes. The I.V. lipids can help provide adequate kcals without giving excessive glucose. With the proper mix of lipids, glucose, and protein, fewer complications with liver functions and glucose tolerance can be expected. Weinsier et al.8 point out the benefits of daily lipids, which include: nitrogen balance, faster synthesis of proteins, such as albumin, improved glucose tolerance, lowered insulin levels; patients with ventilatory failure, CO2 retention and hypoxemia benefit from the lesser CO2 production associated with lipid oxidation.
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In planning care for a client with negative thinking, the nurse would intervene by teaching the client to:
1. Identify and reframe negative thoughts. 2. Discuss personal worthlessness with all unit peers. 3. Make a list of things the client does poorly. 4. Avoid unit activities until the client desires to participate.
A study includes this statement: "The fact that the inventory [instrument] was administered verbally introduced a potential bias of social desirability." This is indicative of what?
a. Implications for practice b. Limitations of the study c. Generalizability of the study d. Recommendations for future research
Ordered: Coumadin 2.5 mg PO daily at bedtime. Available:
a. What is the primary danger of Coumadin overdose? b. Which test result needs to be monitored: aPTT or INR? c. Which antidote needs to be available: vitamin K or protamine sulfate?
Which fundamental belief underscores the basis of the nursing process?
a. Recognition that basic needs must be met by the individual without assistance. b. Acknowledgment that patients and fami-lies appreciate an efficient health care system that functions without their input. c. A focus on disease control as the most important aspect of patient care. d. Recognition that all people have worth and dignity.