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 D

Explanation

Rationale:

A. Tachycardia may occur secondary to hypotension, but it is a secondary concern, not the primary pharmacological issue.

B. Paracentesis does not directly affect blood glucose levels.

C. While changes in bowel habits may occur with fluid shifts, they are not the primary concern after paracentesis.

D. Removal of large volumes of ascitic fluid can lead to intravascular volume depletion, resulting in hypotension. Monitoring blood pressure before, during, and after the procedure is essential, and volume replacement may be required to maintain hemodynamic stability.

A. include probiotic foods in the daily diet. B. Increase daily exercise. C. Increase intake of low fiber foods. D. Increase fluid intake to 1500 mL daily. E. Avoid drinking hot liquids

Correct Answer is ["A","B","D"]

Explanation

Rationale:

A. Probiotics, such as yogurt with live cultures, can promote healthy gut flora and improve bowel regularity.

B. Physical activity stimulates peristalsis, helping prevent constipation, especially in clients who have reduced mobility postoperatively.

C. Low-fiber foods worsen constipation. Clients should consume high-fiber foods such as fruits, vegetables, and whole grains to promote bowel movements.

D. Adequate hydration softens stool and prevents fecal impaction, particularly important for clients taking opioid pain medications.

E. Drinking warm or hot liquids can actually help stimulate bowel movements. There is no need to avoid them.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the main pharmacological concern after performing a paracentesis?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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?

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan?

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?

A nurse is evaluating a client admitted to the emergency unit. Exhibits Which nursing interventions are appropriate for managing a patient with cirrhosis experiencing fluid volume excess?

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