Which of the following medical interventions may be initiated with the onset of hyperglycemia?
a. Discontinuing the infusion
b. Adding insulin to the TPN
c. Weaning from the TPN over a 6-hour period
d. Starting an infusion of 0.9% normal saline
B
One method for controlling hyperglycemia in a patient receiving TPN is to add insulin to the infusion. Rapid cessation of TPN may not lead to hypoglycemia; however, tapering the infusion over 2 to 4 hours is recommended. Slow advancement of the rate of TPN (25 mL/hr) to the goal rate allows pancreatic adjustment to the dextrose load.
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A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg b. Large contusion to the forehead and a bloody nose c. Closed fracture of the right clavicle and arm numbness d. Multiple fractured ribs and shortness of breath
The clinic nurse is explaining to Maria, the mother of a 6-month-old child and an 18-month-old infant who are here for regular visits, about lead exposure testing
Appropriate comments from the nurse would include the following: Select all answers that apply: A) Lead testing for children is recommended by the American Academy of Pediatrics. B) About one fourth of all homes occupied by children under the age of six have lead contamination. C) Lead exposure may cause anemia. D) Both of your children will require testing for lead at this time.
In the United States, over-the-counter drugs are regulated by:
1. No one. There is no oversight for over-the-counter medications. 2. The U.S. Food and Drug Administration Center for Drug Evaluation and Research 3. The U.S. Drug Enforcement Administration 4. MedWatch ____
Clinical information systems (CIS) are systems that manage data to support clinical decision making and are sourced from feeder systems such as:
a. laboratories. b. wards. c. inpatients. d. emergency.