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 A

Explanation

Choice A rationale:
Properly cutting the opening on the skin barrier wafer to fit over the stoma is crucial to prevent any irritation or damage to the surrounding skin. A well-fitted wafer creates a seal around the stoma, reducing the risk of stool coming into contact with the skin, which can cause excoriation.
Choice B rationale:
Emptying the bag when it is three-fourths full of stool is unrelated to the education on colostomy care. This information was provided in the previous question () and is not relevant to colostomy care education.
Choice C rationale:
The color of the stoma should not be slightly purple. A healthy stoma should be pink or red, indicating a good blood supply. A purple or dark-colored stoma could indicate inadequate blood flow, which is a concern and requires immediate medical attention.
Choice D rationale:
Cleansing the peristomal skin with moisturizing soap and water is not the recommended approach. The nurse should use plain water or mild, non-moisturizing soap to clean the peristomal skin, as moisturizing soap may leave a residue that affects the adhesion of the skin barrier wafer.

A. A pearly, waxy nodule. B. An irregular border on a variegated-colored lesion. C. A firm, nodular, crusty, or ulcerated lesion. D. A weeping vesicle.

Correct Answer is A

Explanation

the correct answer is Choice A.

Choice A rationale: Basal cell carcinoma (BCC) is a type of skin cancer that develops in basal cells, a type of cell within the skin that produces new skin cells 1.One of the common symptoms of BCC is a pearly white, skin-colored or pink bump 1.This can also appear as a shiny or pearly nodule with a smooth surface 2.Therefore, a pearly, waxy nodule is a characteristic lesion of basal cell carcinoma

Choice B rationale: An irregular border on a variegated-colored lesion is more commonly associated with melanoma, another type of skin cancer, rather than basal cell carcinoma 1.While BCC can have a variety of appearances, an irregular border on a variegated-colored lesion is not typically characteristic of BCC

Choice C rationale: A firm, nodular, crusty, or ulcerated lesion can be a sign of several types of skin conditions, including squamous cell carcinoma, another type of skin cancer 1.While BCC can sometimes appear as a firm nodule 1 , the description of a crusty or ulcerated lesion is not as characteristic of BCC as a pearly, waxy nodule

Choice D rationale: A weeping vesicle is not typically associated with basal cell carcinoma 1.BCC lesions are more likely to appear as a shiny bump or nodule, or a flat, scaly patch 1.A weeping vesicle could be indicative of a different skin condition

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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