A nurse is preparing to administer total parenteral nutrition (TPN) to a client. The nurse should notify the provider of which of the following findings?

Blood glucose 100 mg/dL.

Client's temperature 37.6°C (99.7°F).

Potassium 5.7 mEq/L.

Weight loss of 0.8 kg/day (1.8 lb/day).

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A blood glucose level of 100 mg/dL is within the normal range, so there is no need to notify the provider of this finding.

Choice B rationale:

A client's temperature of 37.6°C (99.7°F) is slightly elevated but not considered a critical finding. It may be indicative of an infection or other mild inflammation, but it does not warrant immediate provider notification.

Choice C rationale:

A potassium level of 5.7 mEq/L is above the normal range (3.5-5.0 mEq/L). Hyperkalemia can lead to serious cardiac complications, such as arrhythmias, and requires immediate attention from the provider.

Choice D rationale:

Weight loss of 0.8 kg/day (1.8 lb/day) should be evaluated and monitored, but it is not an immediate concern that warrants urgent provider notification.

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Correct Answer is D

Explanation

Choice A rationale:

Severe headache can be a symptom of a subdural hematoma, but it is not the earliest manifestation of a change in neurological status. Other symptoms may appear before a severe headache, such as an altered level of consciousness.

Choice B rationale:

Bradycardia can occur with a subdural hematoma, especially as intracranial pressure increases. However, it is not the earliest manifestation of a change in neurological status. Changes in heart rate may occur later in the progression of the condition.

Choice C rationale:

Widened pulse pressure can also occur in patients with a subdural hematoma due to increased intracranial pressure. However, it is not the earliest manifestation of a change in neurological status. Other neurological signs would likely appear before changes in pulse pressure are evident.

Choice D rationale:

Change in level of consciousness is the earliest manifestation of a change in neurological status with a subdural hematoma. As intracranial pressure increases, the brain's functioning can be affected, leading to alterations in consciousness, ranging from mild confusion to unconsciousness.

A. Increase intake of high-fiber foods. B. Chew sugarless gum. C. Moisten the mouth with lemon-glycerin swabs. D. Rinse the mouth with nystatin.

Correct Answer is C

Explanation

Choice A rationale:
Increasing the intake of high-fiber foods is not relevant to addressing the client's dry mouth caused by benztropine. High-fiber foods are commonly recommended for managing constipation, a symptom often associated with Parkinson's disease, but it does not address the issue of dry mouth.
Choice B rationale:
Chewing sugarless gum can stimulate saliva production and help alleviate dry mouth. However, it is not the most appropriate recommendation for a client taking benztropine, as gum-chewing may interfere with the effectiveness of the medication or exacerbate other symptoms.
Choice C rationale:
Moistening the mouth with lemon-glycerin swabs is the most suitable recommendation for a client experiencing dry mouth due to benztropine. Lemon-glycerin swabs can help increase saliva production and provide relief from the discomfort of dry mouth without interfering with the medication's efficacy.
Choice D rationale:
Rinsing the mouth with nystatin is used to treat fungal infections in the mouth (oral thrush) and is not relevant to address the side effect of dry mouth caused by benztropine.

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A nurse is preparing to administer total parenteral nutrition (TPN) to a client. The nurse should notify the provider of which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is providing care for a client who has a subdural hematoma. The nurse should identify that which of the following is the earliest manifestation of a change in neurological status?

Correct Answer is D

Explanation

A nurse is caring for a client who has Parkinson's disease and is taking benztropine and reports experiencing a dry mouth. Which of the following recommendations should the nurse make?

Correct Answer is C

Explanation

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