A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?
Obtain the client's weight three times a week.
Check the client's WBC count daily.
Keep the solution refrigerated until 1 hr before infusion.
Change the solution every 36 hr.
The Correct Answer is C
allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.
A-Weight measures are not necessary to evaluate the effectiveness of the TPN
B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary
D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.
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Related Questions
Correct Answer is D
Explanation
This group of individuals is not typically contraindicated for the varicella vaccine. In fact, older adults who have not been previously vaccinated or have not had chickenpox are often encouraged to receive the vaccine.
The varicella vaccine is produced using embryonated chicken eggs. Individuals with a severe allergy to eggs (such as anaphylaxis) should avoid this vaccine. However, most people with mild egg allergies can safely receive it. A healthcare provider should assess the severity of the egg allergy before making a decision.
There is no known contraindication between the varicella vaccine and the human papillomavirus (HPV) vaccine. These vaccines target different infections and can be administered independently.
Individuals with advanced immunosuppression, including those with AIDS, should not receive the varicella vaccine. Their weakened immune system may not respond effectively to the vaccine, and there is a risk of disseminated varicella infection.
Correct Answer is D
Explanation
metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.
A-ACEIS, ARBS cause angioedema and persistent dry cough
B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis
C-anticoagulants can cause black stools which is a sign of upper GI bleeding.
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