Would you add any minerals above the standard amount? If so, which ones and how much? Explain your answer
Standard electrolytes, based on closely monitored blood electrolytes, should be added to each bottle of TPN. Trace minerals should be added to one bottle each day and additional minerals added per results of appropriate labs values, i.e. phosphorus, zinc and magnesium. Since considerable Zn can be lost by ileostomy patients, Zn levels should be checked and appropriate Zn given.
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Which of the following diagnostic and assessment findings from among the patients on a geriatric medical unit most warrants further investigation?
A) An 81-year-old woman's glomerular filtration rate (GFR) is low. B) A 78-year-old male's stomach pH is increased. C) A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy. D) A 78-year-old man has recently developed urinary incontinence.
The nurse is caring for an alcoholic who is being treated for hypomagnesemia. When planning care, what should the nurse identify as a priority intervention for this client?
1. Frequent bathing 2. Oral care three times a day 3. Ambulation four times a day 4. Safety interventions
A nurse is discussing the use of cocaine as a local anesthetic with a nursing student. Which statement by the student indicates understanding of this agent?
a. "Anesthetic effects develop slowly and persist for several hours." b. "Cocaine is a local anesthetic administered by injection." c. "Vasoconstrictors should not be used as adjunct agents with this drug." d. "When abused, cocaine causes physical dependence."
A nurse is educating intravenous (IV) drug users about sharing equipment. Which of the follow-ing information would be appropriate for the nurse to include in this education?
a. Tell the clients to throw away their equipment after one use b. Educate the clients on using full-strength bleach on their drug paraphernalia for 30 seconds c. Suggest limiting the number of people who share the equipment d. Provide clean needles and syringes to whoever wants them