A nurse is caring for a client who has a new prescription for total parenteral nutrition with fat emulsion. Which of the following findings should the nurse report to the provider?
Tomato allergy
Citrus allergy
Egg allergy
Wheat allergy
The Correct Answer is C
Rationale:
A. Tomato allergy: A tomato allergy is not relevant to the ingredients used in total parenteral nutrition (TPN) with fat emulsion. Tomatoes are not a component of lipid emulsions, so this does not present a concern in this context.
B. Citrus allergy: Citrus fruits are also not involved in the formulation of fat emulsions or TPN components. Therefore, a citrus allergy would not require special precautions related to the prescribed therapy.
C. Egg allergy: Lipid emulsions used in TPN often contain egg phospholipids as an emulsifying agent. Clients with an egg allergy may experience a hypersensitivity reaction, making this a critical finding that must be reported to the provider immediately.
D. Wheat allergy: Wheat is not a component of standard TPN or fat emulsions. While wheat allergies are significant for dietary intake, they do not pose a known risk with parenteral nutrition administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Carbamazepine: Carbamazepine is an anticonvulsant used for long-term seizure control and prevention, particularly for focal seizures. It is not effective for rapid seizure termination during status epilepticus.
B. Lorazepam: Lorazepam is a benzodiazepine commonly used as the first-line treatment for status epilepticus due to its rapid onset and effectiveness in stopping prolonged seizure activity. It can be administered IV for immediate action.
C. Clonazepam: Clonazepam is a long-acting benzodiazepine used for seizure management but not typically used to treat status epilepticus due to its slower onset of action compared to lorazepam or diazepam.
D. Lamotrigine: Lamotrigine is used as a maintenance medication to prevent seizures, particularly in generalized and focal epilepsy. It is not appropriate for emergency treatment of active seizure episodes like status epilepticus.
Correct Answer is ["2"]
Explanation
- Convert the available strength from milligrams (mg) to micrograms (mcg) to match the desired dose's unit.
Available strength = 0.025 mg/tablet
Since 1 mg = 1000 mcg,
Calculation:
Desired dose = 50 mcg.
Available strength in mcg = 0.025 mg/tablet × 1000 mcg/mg
= 25 mcg/tablet.
Calculate the number of tablets to administer.
Number of tablets = Desired dose (mcg) / Available strength (mcg/tablet)
= 50 mcg / 25 mcg/tablet
= 2 tablets.
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