A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy.
Which of the following solutions should the nurse infuse until the next TPN solution is available?

Lactated Ringer’s.

0.9% sodium chloride.

Sodium chloride.

Dextrose 10% in water.

Answer and Explanation

The Correct Answer is D

If there is a delay in receiving the new TPN solution from the pharmacy, the nurse should infuse Dextrose 10% in water until the next TPN solution is available. This is because stopping TPN abruptly can cause hypoglycemia. Dextrose 10% in water can provide a source of glucose to prevent hypoglycemia.

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

Explanation

Choice A rationale

Insulin glargine does not last for 3 to 6 hours. It is a long-acting insulin that has a duration of action up to 24 hours.

Choice B rationale

This is correct. Insulin glargine lasts for 18 to 24 hours. It is a long-acting insulin that provides a base level of insulin that keeps working for 24 hours or longer.

Choice C rationale

This is also correct. Insulin glargine lasts for 16 to 24 hours. It is a long-acting insulin that provides a base level of insulin that keeps working for 24 hours or longer.

Choice D rationale

Insulin glargine does not last for 6 to 10 hours. It is a long-acting insulin that has a duration of action up to 24 hours.

A. CNS manifestations B. Pain level during sexual intercourse C. Nasal mucosa changes D. Breast changes E. Missed previous month's menstrual cycle F. Dermatological manifestations

Correct Answer is ["B","E"]

Explanation

Choice A rationale: CNS manifestations such as headaches are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin, a gonadotropin-releasing hormone (GnRH) agonist, works by reducing the production of estrogen in the body. This can lead to a variety of side effects, including headaches. While these side effects can be bothersome, they do not indicate that the medication is effectively treating the endometriosis.

Choice B rationale: The reduction in pain level during sexual intercourse, or dyspareunia, is a therapeutic effect of nafarelin. Endometriosis can cause painful sexual intercourse, and one of the goals of treatment with nafarelin is to reduce this pain. The client’s report of decreased dyspareunia suggests that the nafarelin is effectively treating the endometriosis.

Choice C rationale: Changes in the nasal mucosa, such as irritation, are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin is administered intranasally, which can lead to irritation of the nasal mucosa. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.

Choice D rationale: Changes in breast size are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including changes in breast size. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.

Choice E rationale: The absence of menstruation, or amenorrhea, is a therapeutic effect of nafarelin. Nafarelin works by reducing the production of estrogen in the body, which can lead to a temporary halt in menstruation. This is a therapeutic effect as it can help to reduce the pain and other symptoms associated with endometriosis.

Choice F rationale: Dermatological manifestations such as increased acne are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including increased acne. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.

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A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available?

Nursing Test Bank

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

Explanation

Correct Answer is ["B","E"]

Explanation

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A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy.
Which of the following solutions should the nurse infuse until the next TPN solution is available?