The nurse prepares the client to self-administer total parenteral nutrition (TPN) at home. Which does the nurse include in the teaching plan?
1. Change the tubing of the infusion every 72 hours.
2. Allow the TPN to infuse over 4 hours by gravity.
3. Perform daily weights every morning after voiding.
4. Report serum glucose value greater than 120 mg/dL.
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3. The nurse includes instructions for daily weights on the teaching plan for a client performing self-administration of TPN at home. TPN carries the risk of fluid volume overload because the solution is hypertonic; thus, the TPN has high intravascular osmotic pressure and draws fluid from the cell and interstitial space. To ensure that the client remains in fluid balance, the client performs daily weights, records the weight, and reports overnight weight gain of more than 1 pound or several pounds over the week.
1. Changing the TPN tubing every 72 hours is inadequate to maintain infection con-trol because the high glucose concentration of TPN provides an excellent medium for microorganism growth.
2. Infusing TPN risks inadvertently infusing the solution too quickly, so the nurse instructs the client to infuse TPN using an infusion pump because the infusion is hypertonic, leading to massive fluid shifts if infused too rapidly.
4. To manage hyperglycemia, the nurse instructs the client to administer regular insu-lin according to a sliding scale based on regular capillary glucose levels.
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The patient is scheduled to begin treatment with a tocolytic medication. She asks the health care provider to explain the benefit of taking the medication. The health care provider should respond that the medication is designed to:
a. Hasten immediate delivery of the fetus. b. Delay onset of labor until 40 weeks' gestation. c. Delay premature fetal delivery until corticosteroids are given to the mother. d. Enable delivery of the fetus after fetal demise.
The nurse is conducting a wellness presentation for a group of factory employees and notes a large number of African Americans present
Based on information included in Healthy People 2020, the nurse would choose which of the following topics as a priority for this setting? 1. Cancer risk reduction 2. Bone density assessments 3. Smoking cessation 4. Blood pressure screening
A nurse provides teaching for a patient about to begin taking an FGA drug for schizophrenia. Which statement by the patient indicates a need for further teaching about side effects of these drugs?
a. "Dry mouth and constipation are uncom-mon with this medication." b. "I may experience gynecomastia and ga-lactorrhea." c. "I may feel lightheaded or dizzy and should sit or lie down if this occurs." d. "Sedation may occur initially, but will subside in 1 to 2 weeks."
The outcome that resulted from the fundamental flaw with the deinstitutionalization of mental health patients was that: (Select all that apply.)
a. patients had to be readmitted to state hospitals because of the lack of adequate community services. b. there was insufficient financial support to care for the psychiatric patients at the homeless shelters currently in place. c. funds for services were misused since policymakers did not require adequate documentation of patient service needs. d. there were insufficient numbers of community health professionals available to care for the psychiatric patients who qualified for deinstitutionalization care. e. patients refused to seek out or accept mental health care from community-basedfacilities since they were unfamiliar with them and therefore generally distrustful of them.