The nurse is initiating parenteral nutrition on a postoperative patient. The nurse will initiate the therapy by:
A) Starting a rapid infusion rate to meet the patient's nutritional needs
B) Initiating the infusion slowly and monitoring the patient's fluid and glucose tolerance
C) Changing the rate of administration hourly based upon serum electrolyte values
D) Increasing the rate of infusion at meal times to mimic the circadian rhythm of the body
Ans: B
Feedback: PN solutions are initiated slowly and advanced gradually each day to the desired rate as the patient's fluid and glucose tolerance permits. The formulation of the PN solutions is calculated carefully each day to meet the complete nutritional needs of the individual patient based upon clinical findings and laboratory data.
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The nurse is providing care to a pediatric client who is HIV-positive. The client's mother is describing the child's current condition and activities to the nurse
Which statements by the mother indicate that the child is currently exhibiting positive outcomes related to the diagnosis? Select all that apply. A) "My child attends school and doing well in class." B) "My child seems somewhat isolated and doesn't have any real friends." C) "My child has a good appetite and eats regular meals." D) "My child hasn't shown any sign of infection." E) "We attend a weekly support group for kids with HIV."
Which statement about antiviral drugs is true?
a. They are all most effective at killing viruses. b. They are all effective against any type of infection. c. They all work by slowing the replication of viruses. d. They are all only effective in people with strong immune systems.
Which of the following interventions, regarding personal hygiene for a client who is unconscious, performed by ancillary personnel requires immediate follow-up by the RN?
1. Storing the damaged dentures in the client's bedside stand 2. Shaving the client's mustache to facilitate the nasogastric tube 3. Postponing the daily bath until the client's temperature has stabilized 4. Providing oral care with the flavored swabs provided by the client's family
The nurse is caring for a group of patients. Which task may the nurse delegate to the nursing assistive personnel (NAP)?
a. Administer a back massage to a patient with pain. b. Assessment of pain for a patient reporting abdominal pain. c. Administer patient-controlled analgesia for a postoperative patient. d. Assessment of vital signs in a patient receiving epidural analgesia.