The nurse is administering total parenteral nutrition (TPN) to a patient who underwent surgery for gastric cancer. What is a major complication of TPN?
A) Hyperglycemia
B) Extreme hunger
C) Hypotension
D) Hypoglycemia
Ans: A
Feedback: The solution, used as a base for most TPN, consists of a high dextrose concentration and may raise blood glucose levels significantly, resulting in hyperglycemia. Fluid overload may cause hypertension, not hypotension. Extreme hunger occurs with hypoglycemia.
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Why did employers decide to offer health insurance as an employee benefit?
a. Hospitals and physicians quit offering charity care to those who could not pay. b. Society was focused on not having to pay for doctor visits and other needed health benefits. c. Teachers were role models for unions to demand insurance as a benefit. d. To obtain and retain the limited number of persons available to work when government rules prohibited raising wages, insurance was offered.
Sundowner syndrome is characterized by which of the following that the nurse may observe in an older adult?
a. early morning confusion b. oversleeping c. nocturnal confusion d. violent behavior after sundown
The nurse asks the patient if he knows what his "normal" blood pressure usually is. The nurse is assessing which of the following:
a. the patient's memory b. the patient's cardiovascular status c. the patient's fluid balance status d. the patient's health maintenance behavior
The nurse is teaching a class on menstruation to young girls. What information would be important for 10–12-year-olds to know about?
1. The age they will start having their periods 2. Variations in the age menstruation begins, length of the cycle, and duration of the menses 3. The number of days they will be ill when they have their menses 4. The number of days they will not be able to take part in physical education at school during their menses