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 ["C","F"]

Explanation

A. Not directly related to osteoporosis risk. Lactose intolerance does not inherently increase the risk of osteoporosis.
B. No history of smoking was reported by the client.
C. The total 25-hydroxy D level is below the normal range, indicating insufficient vitamin D, which can increase the risk of osteoporosis.
D. Normal phosphorus levels are found in the client's diagnostic results.
E. The client reported not drinking alcohol, which is not a risk factor for osteoporosis.
F. The client's sedentary lifestyle and inability to adhere to the exercise program contribute to a higher risk of osteoporosis due to reduced bone strength from lack of physical activity.

A. Assist the client into semi-Fowler's position. B. Give the client's medications between meals. C. Encourage the client to use a straw to take the medications. D. Administer the client's medications one at a time.

Correct Answer is D

Explanation

A. Assisting the client into a semi-Fowler's position might be beneficial but doesn't directly address dysphagia while taking medications.
B. Timing medications between meals isn't directly related to improving medication intake for someone with dysphagia.
C. Using a straw might not be recommended as it could increase the risk of aspiration.
D. Administering medications one at a time allows for better control and observation of swallowing ability and reduces the risk of aspiration.

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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 in a provider's office is caring for a client. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)

Correct Answer is ["C","F"]

Explanation

A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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