A healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parenteral nutrition (TPN) for infusion via the line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?

Start 10% dextrose IV at the TPN prescribed rate.

Review chest x-ray report for central line placement.

Instruct UAP to obtain hourly blood glucose levels.

Redress the central line site using sterile technique.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Reviewing the chest x-ray report for central line placement is crucial to ensure that the central venous catheter is correctly positioned before starting TPN. Proper placement of the CVC is essential to prevent complications such as pneumothorax, incorrect infusion, or damage to surrounding structures. Confirming the placement through a chest x-ray ensures the safety and effectiveness of the TPN administration.

Choice A reason:

Starting 10% dextrose IV at the TPN prescribed rate is not appropriate until the correct placement of the CVC is confirmed. Administering dextrose without verifying the catheter placement can lead to serious complications if the catheter is not correctly positioned.

Choice C reason:

Instructing UAP to obtain hourly blood glucose levels is important once TPN is initiated, as TPN can significantly affect blood glucose levels. However, this step should come after confirming the correct placement of the CVC.

Choice D reason:

Redressing the central line site using sterile technique is important for preventing infection, but it is not the immediate priority. Ensuring the correct placement of the CVC through a chest x-ray is the first step before any other actions are taken.

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Correct Answer is ["C","E"]

Explanation

Choice C reason:

Beans, brown rice, and apricots are excellent sources of non-heme iron, which is important for clients with iron-deficiency anemia. These foods also provide other essential nutrients that support overall health. Including these items in the diet helps increase iron intake and improve anemia symptoms.

Choice E reason:

Spinach, kale, and collard greens are rich in non-heme iron and provide essential vitamins and minerals. These leafy greens are particularly beneficial for increasing iron levels and supporting overall health. Encouraging the client to eat these vegetables helps address iron deficiency effectively.

Choice A reason:

Alcohol (ethanol) should be avoided as it can interfere with iron absorption and overall health. While orange juice is rich in vitamin C, which enhances iron absorption, it should be paired with iron-rich foods rather than alcohol.

Choice B reason:

Milk, ice cream, and buttermilk are low in iron and do not significantly contribute to increasing iron levels. Additionally, calcium in dairy products can inhibit iron absorption, making them less suitable for clients with iron-deficiency anemia.

Choice D reason:

Salted nuts, corn, and oranges provide some nutrients but are not particularly high in iron. While oranges are rich in vitamin C, which helps with iron absorption, the focus should be on foods that are high in iron content.

A. Sunflower seeds. B. Frozen yogurt. C. Cheese and crackers. D. Fresh orange slices.

Correct Answer is A

Explanation

Choice A reason:

Sunflower seeds are an excellent source of Vitamin E, which is important for protecting cells from oxidative damage and supporting immune function. Encouraging the client to snack on sunflower seeds helps increase their intake of this essential nutrient. Sunflower seeds are also convenient and can be easily incorporated into the diet.

Choice B reason:

Frozen yogurt is not a significant source of Vitamin E. While it can be a healthy snack option, it does not provide the necessary nutrients to increase Vitamin E intake.

Choice C reason:

Cheese and crackers are not high in Vitamin E. While they can be part of a balanced diet, they do not contribute significantly to Vitamin E intake.

Choice D reason:

Fresh orange slices are rich in Vitamin C but not in Vitamin E. While oranges are a healthy snack, they do not help increase Vitamin E intake. The focus should be on foods that are specifically high in Vitamin E.

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A healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parenteral nutrition (TPN) for infusion via the line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting diet teaching for a client who was diagnosed with iron-deficiency anemia, what food(s) should the nurse encourage the client to eat? Select all that apply.

Correct Answer is ["C","E"]

Explanation

A client wants to increase intake of Vitamin E. Which snack should the nurse encourage?

Correct Answer is A

Explanation

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?

A client who is training for a first marathon arrives at the clinic reporting an increase in the frequency of leg cramps. Which recommendation should the nurse provide to help decrease the frequency of leg cramps?

A nurse is planning care for several clients. Which client(s) are at an increased risk for malnutrition? Select all that apply.