A charge nurse is educating a newly licensed nurse about total parenteral nutrition (TPN) therapy. Which of the following statements indicates an understanding of the teaching?

"TPN is administered for clients who are unable to absorb nutrients from their intestinal tract."

"Clients who require long-term nutritional support are prescribed TPN."

"I should check the client's gastric residual prior to initiating TPN."

"I should administer TPN intravenously over 6 hr.”

Answer and Explanation

The Correct Answer is A

A. TPN is used for clients who cannot absorb nutrients via the intestinal tract, typically due to issues like severe malabsorption or bowel dysfunction.

B. Long-term nutritional support is typically provided via enteral feeding rather than TPN, unless the client cannot tolerate enteral feeding.

C. Gastric residual is relevant for clients receiving enteral nutrition (not TPN), which involves checking for residuals in the stomach before feeding.

D. TPN should be administered over a longer period (typically 12-24 hours), not 6 hours.

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Correct Answer is D

Explanation

A. The client should not stop taking levothyroxine abruptly, even if a dose is missed.

B. Therapeutic effects of levothyroxine may take several weeks.

C. Antacids can interfere with absorption and should not be taken at the same time.

D. Taking the medication consistently at the same time every morning helps maintain stable hormone levels and optimal absorption.

A. Increased pulse rate B. Increased blood pressure C. Decreased respiratory rate D. Decreased temperature

Correct Answer is A

Explanation

A. Increased pulse rate may indicate hemorrhage or hypovolemia, which are risks associated with heparin therapy, especially if the aPTT is elevated.

B. Increased blood pressure is not typically associated with heparin therapy and would not be expected with an elevated aPTT.

C. Decreased respiratory rate is not a common effect of increased aPTT or heparin therapy.

D. Decreased temperature is not typically related to an elevated aPTT level.

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A charge nurse is educating a newly licensed nurse about total parenteral nutrition (TPN) therapy. Which of the following statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about levothyroxine. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is assessing a client who is receiving heparin via continuous IV infusion. The client has an increased aPTT level. The nurse should monitor the client for which of the following changes in their vital signs?

Correct Answer is A

Explanation

A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?

A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?

A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients?

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A nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer?

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