A medical student asks your opinion or ordering enteral versus total parentral nutrition (TPN) for a middle aged man receiving radiation and chemotherapy for neck cancer. Your best response would be:
1. TPN would be the easiest to manage in an outpatient setting.
2. Clients receiving TPN require daily monitoring a visiting nurse.
3. Enteral nutrition would be the best choice because the client has a functional digestive tract.
4. Enteral nutrition would be more difficult to administer on a outpatient basis.
3
Rationale: Parentral nutrition requires close monitoring and administration must follow a strict protocol. Because of the components of TPN, regular BS measurements to avoid hypo- or hyperglycemia ice episodes are needed. Enteral nutrition has been shown to have economic and health benefits over parentral nutrition among clients with functional digestive tracts. Most clients can manage self-feeding with enteral nutritional supplements following education and demonstration by a nurse.
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An elderly patient in the ICU with acute respiratory distress syndrome (ARDS) has developed sepsis. Which of the following interventions should the nurse implement to address the sepsis and its symptoms? Select all that apply
A) Antibiotic therapy B) Elevating head of the bed 30 to 45 degrees C) Weaning protocol D) Daily sedation withholding E) Steroid administration F) Activated protein C
The nurse is working in the medical station at a local amusement park. An adult is being seen complaining of dizziness and feelings of "seasickness" after going on several rides. What would the nurse suspect the patient may benefit from?
A) An anticholinergic B) A histamine H2 blocker C) Substance P/neurokinin 1 receptor antagonist D) Cannabis
Based on the physiology of an infant's renal system, what does the nurse need to know about administering drugs to infants?
a. Drugs are excreted more rapidly in infants. b. Renal function reaches maturity at 1 month, so normal dosages can be administered to infants older than 1 month. c. Dosages must be reduced until age 1 year. d. Dosages must be increased until age 1 year.
The ICU nurse is contacted by the x-ray department following a postintubation chest x-ray. The nurse is advised that the endotracheal tube is located in the right bronchus. The nurse recognizes that the correct intervention for this problem is:
1. The tube needs to be withdrawn slightly. 2. The tube needs to be inserted further. 3. The tube is correctly placed. 4. The tube is incorrectly attached to the ventilator.