A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

Obtain a random blood glucose daily.

Change the PN infusion bag every 48 hr.

Prepare the client for a central venous line.

Administer the PN and fat emulsion separately.

Answer and Explanation

The Correct Answer is C

A.   Obtaining a random blood glucose daily is important for monitoring glucose levels but might not be specifically related to the introduction of PN in this context.
B.   Changing the PN infusion bag every 48 hours might not be universally applicable; the frequency of changing PN bags depends on institutional policies and the stability of the solution being administered.
C.   PN with high concentrations of dextrose and fat emulsions typically requires a central venous line for administration to prevent peripheral vein irritation or damage.
D.   Administering PN and fat emulsion separately might not be practical as PN usually includes all necessary components in a single infusion.

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

Explanation

A. Placing the client in high Fowler's position helps improve lung expansion and oxygenation.
B. Administering oxygen helps address hypoxia and supports adequate oxygenation.
C. Stopping the transfusion is crucial when signs of a transfusion reaction are present.
D. Administering a diuretic is not typically indicated for transfusion reactions involving lung crackles, hypoxia, and distended neck veins.
E. Epinephrine is not typically used to manage a blood transfusion reaction; it's more for severe allergic reactions like anaphylaxis.

A. Assist the client with a bowel cleansing B. Ensure the client is free of metal objects C. Administer 240 ml of oral contrast before the procedure D. Monitor the client for pain in the suprapubic region.

Correct Answer is A

Explanation

A. Bowel cleansing is often required prior to an intravenous pyelogram to remove fecal matter that can obscure visualization of the urinary tract. A clear field improves the accuracy of imaging and helps ensure diagnostic quality.

B. Removing metal objects is important for procedures such as MRI or X-rays of certain areas, but it is not the primary preparation specific to an intravenous pyelogram. The focus is on visualization of the urinary system using contrast.

C. Intravenous pyelogram involves the administration of contrast dye intravenously, not orally. Giving oral contrast is associated with gastrointestinal imaging studies, not urinary tract imaging.

D. Monitoring for suprapubic pain is not a routine or priority nursing action specific to this procedure. Post-procedure care focuses more on monitoring for contrast reactions and ensuring adequate hydration.

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A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

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

Explanation

A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to Include?

Correct Answer is A

Explanation

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