The client is to receive a fat emulsion. Upon entering the client's room, the nurse notes that the IV set will have to be changed as a result of finding:
A. A Y connector in place
B. The emulsion infusing for 3 hours
C. A solution at room temperature
D. An IV infusion filter on the main line
D
D. End of fat emulsion tubing should be inserted into injection port of main IV, proximal to the venipuncture site, below the infusion filter on the main parenteral nutrition line.
A. Clean peripheral line tubing injection port of primary IV with alcohol swab. It is optional to use a Y connector.
B. Fat emulsions should hang no longer than 10 hours as a separate infusion. Fat emulsions may cause adverse symptoms if infused too rapidly as a separate infusion. Infusion time should be at least 4 hours.
C. Warm solution to room temperature if refrigerated. This prevents changes in body temperature from instillation of cold solution.
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A 72-year-old client hospitalized with a second episode of pneumonia in the past 18 months expressed frustration to the nurse, stating that in the past the client never used to get sick. Which response by the nurse is most appropriate?
1. "As you grow older, there is a decrease in the speed and strength of the immune system, which puts you at greater risk for developing an infection.". 2. "As you grow older, your immune system just quits working.". 3. "As you grow older, there is an increase in the number of B cells in the circulation, which hinders the immune response.". 4. "As you grow older, there in an overall increase in the speed and strength of your immune response.".
What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?
a. "One of the parents carries a defective gene that causes myelomeningocele.". b. "A deficiency in folic acid in the father is the most likely cause.". c. "Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele.". d. "There may be no definitive cause identified.".
The most appropriate technique a nurse can demonstrate to help a patient form more healthy relationships is:
A) Instruct the patient to speak only to the nurse about concerns. B) Show the patient that s/he is accepted as an individual, but certain behaviors may be unacceptable. C) Discourage the patient from forming hospital relationships. D) Require the patient to speak only to the other individual involved in any concerns or issues.
Which question would be most important to ask a married male client with a varicocele?
A) "Do you want to have children?" B) "Have you and your wife attempted a pregnancy together?" C) "Does intercourse cause you pain?" D) "Have you ever felt a mass during your testicular exam?"