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 D
Explanation
Rationale:
A. Irrigate the wound using a 10 mL syringe: A 10 mL syringe does not provide enough volume or control for effective wound irrigation. Typically, a 30 to 60 mL syringe with an appropriate catheter or tip is used to deliver a steady, low-pressure stream.
B. Cleanse the insertion site of the drain using a circular motion toward the center: Cleansing should be performed from the center outward in circular motions to avoid dragging contaminants toward the wound or drain site. Cleaning toward the center increases the risk of infection.
C. Cleanse the wound starting at the bottom and moving upward: Wound cleansing should be performed from the least contaminated area to the most contaminated — usually from top to bottom or from the incision line outward. Cleaning from bottom to top can introduce bacteria to cleaner areas.
D. Irrigate the wound with a low-pressure flow of solution: Using a low-pressure irrigation helps to flush out debris and reduce bacterial load without damaging healthy tissue or forcing contaminants deeper into the wound. It is the recommended method for safe and effective wound cleansing.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.