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

Explanation

Choice C reason:

Hard salami is high in tyramine, a compound that can trigger migraine headaches in susceptible individuals. Tyramine is found in aged, fermented, and cured foods, and it can cause blood vessels to constrict and then dilate, leading to migraines. Eliminating hard salami from the diet can help reduce the frequency and severity of migraine headaches for those who are sensitive to tyramine.

Choice A reason:

Chicken is low in tyramine and is generally safe for individuals trying to avoid this compound. It is a good source of protein and can be included in a diet aimed at reducing migraine triggers.

Choice B reason:

Cherries are low in tyramine and do not typically trigger migraines. They are a healthy fruit option that can be included in the diet without increasing the risk of headaches.

Choice D reason:

Whole wheat bread is also low in tyramine and is a good source of fiber and nutrients. It does not pose a risk for triggering migraines and can be safely included in the diet.

A. Clam chowder. B. Turkey sandwich. C. Bacon, lettuce, and tomato sandwich. D. Macaroni and cheese.

Correct Answer is B

Explanation

A. Clam chowder is typically high in sodium due to the use of canned clams and broth, making it an unsuitable choice for a low-sodium diet. The high sodium content can exacerbate hypertension and other cardiovascular issues, which is why it is not recommended for someone recovering from a myocardial infarction.

B. Turkey sandwich is a better option for a low-sodium diet, especially if the turkey is fresh and not processed. Fresh turkey contains significantly less sodium compared to processed meats. Additionally, using whole grain bread and adding vegetables like lettuce and tomato can enhance the nutritional value without adding excessive sodium.

C. Bacon, lettuce, and tomato sandwich is not suitable for a low-sodium diet because bacon is high in sodium. Even though the lettuce and tomato are healthy, the bacon’s high sodium content makes this choice inappropriate for someone who needs to limit their sodium intake.

D. Macaroni and cheese is generally high in sodium, especially if it is made from a boxed mix or contains processed cheese. The high sodium content can be detrimental to someone on a low-sodium diet, making it an unsuitable choice for lunch.

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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

A client who has migraine headaches wants to decrease the intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which food should the nurse recommend that the client eliminate?

Correct Answer is C

Explanation

A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?

Correct Answer is B

Explanation

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

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 who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

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?

Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?

The nurse is caring for an older adult client that is exhibiting signs of confusion. Which intervention should the nurse implement?