A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse notices that the solution bag is almost empty and there is not another bag of TPN to administer. Which of the following IV solutions should the nurse administer until the next bag of TPN solution is available?

59% dextrose in lactated Ringer's solution (DLR)

0.45% sodium chloride (0.45% NaCl)

10% dextrose in water (DW)

Lactated Ringer's solution

Answer and Explanation

The Correct Answer is C

Rationale:
A. 59% dextrose in lactated Ringer’s is not a standard solution and would be hypertonic and unsafe.
B. 0.45% sodium chloride does not provide the glucose necessary to prevent hypoglycemia.
C. 10% dextrose in water (D10W) is correct. If TPN runs out, a dextrose-containing solution should be administered to prevent hypoglycemia until the next TPN bag is available.
D. Lactated Ringer’s does not provide sufficient glucose to maintain blood sugar during TPN interruption.

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Correct Answer is B

Explanation

Rationale:
A. Lactulose is usually administered orally to soften stools, not as a short-retention enema.
B. A Fleet enema is a hypertonic solution that draws fluid into the colon, is retained briefly, and promotes rapid evacuation of stool to relieve constipation.
C. Tap water enemas are hypotonic and typically require immediate expulsion, not short retention.
D. Mineral oil enemas are retention enemas, meant to soften stool over a longer period, not for rapid evacuation.

A. Hematemesis B. Dyspepsia C. Epigastric discomfort D. Constipation

Correct Answer is A

Explanation

Rationale:
A. Hematemesis (vomiting blood) indicates active gastrointestinal bleeding, which can lead to hypovolemic shock and is a life-threatening complication of peptic ulcer disease. It is therefore the priority assessment finding.

B. Dyspepsia (indigestion) is a common symptom of peptic ulcer disease but is not immediately life-threatening.

C. Epigastric discomfort is a typical symptom but is less urgent compared to active bleeding.

D. Constipation is a non-specific gastrointestinal symptom and does not pose an immediate threat in peptic ulcer disease.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which type of enema is typically used to relieve constipation by instilling and retaining fluid for a short period before expelling?

Correct Answer is B

Explanation

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Correct Answer is A

Explanation

A nurse in a provider's office is caring for a client. Exhibits Select the 3 findings from the client's medical record that increase their risk for peptic ulcer disease (PUD).

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?

An older adult patient who is malnourished presents to the emergency department with a serum albumin that is low with total protein that is also low. Which clinical manifestation should the nurse expect?

A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?

Which electrolyte imbalance is most likely indicated by a peaked T wave on an ECG?

A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home. Which of the following instructions should the nurse include? (Select all that apply.)

Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)