During the night shift the TPN solution bag becomes nearly empty, and the night nurse
discovers that the next bag of TPN has not been prepared. The hospital pharmacy does not
prepare TPN during the night shift.
What does the nurse need to do next?
a. Convert the line to a saline lock until the TPN solution is ready.
b. Slow the TPN rate to 10 mL/hr until the next TPN bag can be prepared.
c. Hang a bag of D5W when the TPN is finished.
d. Hang a bag of D10W when the TPN is finished.
d
If the ordered TPN is temporarily unavailable, then either 20% or 10% dextrose in water solution
should be given until the TPN is ready. A lower percentage of glucose solution might lead to
hypoglycemia because the pancreas has been secreting insulin to cover the higher amount of
glucose contained in the TPN.
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Which of the following interventions would be appropriate for the pediatric client who has a nursing diagnosis of Anxiety related to planned surgery?
a. Arrange for the child to draw a picture of the hospital unit and the operating room. b. Encourage caregivers to observe the surgery. c. Provide a favorite blanket or toy for the child pre- and postoperatively. d. Schedule caregiver visits during sleep to avoid overstimulating the child.
Which statement made by a resident in a long-term care facility should lead the nurse to conclude a positive resolution of the developmental task of old age?
a. "I love my children. I could have done more for them." b. "I am too young to be in a place like this." c. "I miss my friends and wife. I'm ready to go." d. "I've enjoyed the ride!"
A patient is admitted to the hospital with a history of chronic alcohol abuse and is showing signs and symptoms of acute alcohol withdrawal. The nurse would expect to administer which class of drugs?
a. Antianxiety medications b. Antidepressants c. Benzodiazepines d. Antipsychotics
_____________ is a term used to describe the process by which competent patients give voluntary consent for medical or surgical treatments or biomedical research after receiving disclosure about potential risks and benefits
a. Autonomy c. Informed consent b. Paternalism d. Advocacy