Risks of total parenteral nutrition include: (Select all that apply.)
a. diarrhea.
b. elevated blood sugar.
c. infection at the catheter site.
d. volume overload.
B, C, D
Diarrhea is more common with enteral tube feedings; the other risks are common with total parenteral nutrition.
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Regarding the use of nitrate products for coronary artery disease, the nurse should instruct a patient about the benefits of taking nitrates using which of the following statements? (Select all that apply.)
a. Oxygen demands are reduced in the heart. b. Small blood vessels are increased in the heart. c. The inner heart has less oxygen supply. d. Oral nitrates have a slow onset of action. e. Oral nitrates are changed in the liver to inactive products.
The nurse is working in the Emergency Department and is assessing the client who is experiencing paradoxic movements of the right lung. The nurse should further assess the client for:
1. apnea. 2. heart failure. 3. rib fractures. 4. contusion.
A client who underwent surgery is intubated and receiving mechanical ventilation. The client is receiving a neuromuscular blocking agent to stop spontaneous breathing that is not in synchrony with the ventilator
The appropriate approach by the nurse to the client's postoperative pain control would be a. a sedative should be given with an anxiolytic and the neuromuscular blocker to control pain. b. an analgesic is needed specifically for pain control and must be given as needed along with the neuromuscular blocker and a sedative or anxiolytic. c. sedatives should be given with the neuromuscular blocking agent, and together these will control pain. d. the neuromuscular blocking agent will prevent pain impulse transmission, so the prn analgesic order is unnecessary.
A fellow nurse was confronted by the pharmacist about a medication error that was detected in the automated dispensing device
The medication administered to a client receiving palliative care may have caused an earlier death since the medication significantly decreases the client's respiratory rate when given at the administered dose. Which of the following statements by the nurse displays the use of rationalization? A) "Thank you for pointing this error out. I will fill out an incident report immediately." B) "Please don't tell my supervisor. She will put me on probation if she knows this information." C) "I didn't think I needed to disclose this error since the patient is going to die anyway." D) "Are you sure I made this error? I can't recall this incident."