A nurse is caring for a client with pancreatic disease. The client is receiving total
parenteral nutrition (TPN) to help maintain adequate levels of carbohydrates, proteins,
fats, vitamins, minerals, water, and electrolytes.
Which measure should the nurse follow
when providing TPN?
A) Perform insertion of a central line under aseptic conditions
B) Check the client's vital signs for evidence of developing infection
C) Avoid folding the tape over when securing the catheter
D) Measure the blood glucose level at the end of the day
B
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An elevated body temperature related to the body's inability to promote heat loss or reduce heat production is known as:
a. hyperthermia. b. heat stroke. c. hypothermia. d. fever of unknown origin.
The patient's wound has exudate. The nurse knows this exudate occurs when the patient is in which phase of wound healing?
a. proliferative phase c. inflammatory phase b. maturation phase d. retraction phase
A 46-year-old client has had kidney disease for the past 10 years. His kidneys are no longer functioning. The nurse knows that which of the following offers the client the potential for res-toration of normal kidney function?
1. Lasix therapy 2. Hemodialysis 3. Peritoneal dialysis 4. Kidney transplant
A patient is intubated, and sputum for culture and sensitivity is ordered. Which of the following is important for obtaining the best specimen?
a. After the specimen is in the container, dilute thick secretions with sterile water. b. Apply suction when the catheter is advanced to obtain secretions from within the endotracheal tube. c. Do not apply suction while the catheter is being withdrawn because this can contaminate the sample with sputum left in the endotracheal tube. d. Do not clear the endotracheal tube of all local secretions before obtaining the specimen.