The nurse caring for a client receiving parenteral nutrition via a central venous catheter determines that the client's temperature is elevated, white blood cell count is elevated, and the client is lethargic
The nurse suspects the client is septic. Which actions by the nurse are appropriate in this situation?
Select all that apply.
1. Replacing the parenteral nutrition with a normal saline solution
2. Changing the IV tubing
3. Saving the remaining TPN
4. Recording the lot number of the TPN
5. Notifying the health care provider.
Correct Answer: 2,3,4,5
The fluid should be replaced with a 5% or 10% dextrose solution, not normal saline, because the client has adjusted to a high sugar intake via the TPN, and eliminating all sugar infused could result in hypoglycemia. The other actions are correct.
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A nurse suspects a client has serum sickness. What laboratory result would the nurse correlate with this condition?
a. Blood urea nitrogen: 12 mg/dL b. Creatinine: 3.2 mg/dL c. Hemoglobin: 8.2 mg/dL d. White blood cell count: 12,000/mm3
An order is written for a drug that is an adjunctive therapy for Parkinson's disease. The nurse reviews the order before administering the drug. What medication orders should the nurse question?
A) Levodopa 0.5 to 1 g/d orally in 2 divided doses B) Amantadine (Symmetrel) 200 mg orally b.i.d. C) Tolcapone (Tasmar) 400 mg orally t.i.d. D) Selegiline (Carbex) 10 mg/d orally
___ implications for research and practice
Fill in the blank with the appropriate word.
The nurse instructing a family in the selection of a chair for an older adult with Parkinson's disease would stress selecting a chair that:
a. is very wide to allow for position changes. b. has sturdy arms to aid in rising. c. is low to prevent falls. d. is soft and deep for added comfort.