A nurse is caring for a patient receiving total parenteral nutrition (TPN). Which nursing action is most appropriate to implement?
a. Use a clean technique for site care.
b. Infuse the solution rapidly.
c. Administer medications through the TPN line.
d. Monitor the temperature for elevation.
D
Temperature should be monitored for signs of potential infection. When caring for a patient re-ceiving TPN, sterile technique is used for site care. If solution is given too rapidly, the patient may have circulatory overload. The TPN catheter should NEVER be used for medication admin-istration.
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The parents of a set of fraternal twins are concerned about the differences in the growth and development between the children. The principle of growth and development that will best explain this to the parents is:
1. The sequence of each stage is predictable, although the time of onset, length of the stage, and the effects of each stage vary with the person. 2. Each developmental stage has its own characteristics. 3. Development becomes increasingly differentiated. 4. Certain stages of growth and development are more critical than others.
The staff nurse is unsure of the correct protocol for calling in sick to work. The nursing supervisor told the nurse to call the nursing office; however, the nurse manager told the nurse to call the unit
This issue is likely the result of which distorted communication? 1. Intersender conflict 2. Intrasender conflict 3. Metacommunication 4. Downward communication
A nursing student says to the clinical faculty, "I know I will be able to care for this patient given your directions." In which stage of Cohen's model of professional socialization is this student?
a. Stage I: Unilateral dependence b. Stage II: Negativity/independence c. Stage III: Dependence/mutuality d. Stage IV: Interdependence
A patient in labor has been prescribed an intravenous infusion of 5% dextrose/water. Following insertion of the intravenous line, what should the nurse instruct the patient to do?
A) Try to forget the fluid line is in place. B) Lie on the back to allow optimal flow. C) Not to get out of bed once the needle is in place. D) Lie perfectly still so as not to dislodge the needle.