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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nitroprusside is a systemic vasodilator that lowers blood pressure. It is used in emergency set ups to lower blood pressure in clients with hypertensive crises. It can also lower the blood pressure to cause hypotension and the blood pressure should be monitored closely.
B-Stroke volume is not directly affected by nitroprusside
C-Cardiac output is not directly affected by nitroprusside
D-Urine output changes can occur due to hypotension but not as a direct effect of nitroprusside
Correct Answer is B
Explanation
Propofol causes positive modulation of the inhibitory function of the neurotransmitter gamma-aminobutyric acid (GABA) through GABA-A receptors. It also enhances GABA's effects leads to increased chloride influx into neurons, causing hyperpolarization and decreased neuronal activity. This results in the sedative and hypnotic effects for which propofol is used during anesthesia. Propofol can cause respiratory depression when levels in the blood are high and hence respiratory rate should be monitored closely
A-Propofol is likely to cause bradycardia due to depression of central cardiac centers
C-Propofol has no effect on bowel function
D-Propofol can cause hypothermia when used in anesthesia but not as critical as respiratory depression
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