A nurse is providing discharge teaching to a client who will receive total parenteral nutrition (TPN) at home. Which of the following information should the nurse include?
Instruct the client that their central line dressing must be changed every 24 hr.
Instruct the client to weigh themselves daily and record their weight.
Instruct the client that one container of TPN may infuse for up to 72 hr.
Instruct the client to speed up the rate of their TPN infusion if it falls behind schedule.
The Correct Answer is B
A) Instruct the ’lient that their central line dressing must be changed every 24 hr: While it's essential to maintain proper hygiene a’d care for a central line to prevent infection, changing the dressing every 24 hours may not be necessary. The frequency of dressing changes depends on institutional policies and the client's condition. Providing accurate informat’on about dressing changes based on specific guidelines is important for the client's safety and the prevention of central l’ne-related infections.
B) Instruct the client to weigh themselves daily and record their weight: This is the correct instruction. Monitoring daily weight allows for the assessment of fluid status and the effectiveness of TPN therapy. Weight gain or loss can indicate fluid retention or depletion, respectively, which may necessitate adjustments to the TPN prescription. Recording daily weights provides valuable data for healthcare providers to evaluate the client's response to TPN and make appropriate m’difications to the treatment plan.
C) Instruct the client that one container of TPN may infuse for up to 72 hr: The duration of TPN administration varies depending on factors such as the client's nutritional needs, medical condition, ’nd the stability of the TPN solution. While some TPN solutions may be stable for up to 24-48 hours, infusing for 72 hours could increase the risk of contamination and compromise the integrity of the solution, leading to adverse effects. Providing accurate information about the duration of TPN infusion based on the specific prescription ensures the client's safety and the efficacy of therapy.
D’ Instruct the client to speed up the rate of their TPN infusion if it falls behind schedule: Altering the rate of TPN infusion without healthcare provider guidance can lead to complications such as hyperglycemia, electrolyte imbalances, or fluid overload. TPN infusion rates are carefully prescribed based on the client's nutritional needs and metabolic status’ If the infusion falls behind schedule, it's essential for the client to contact th’ir healthcare provider for guidance on adjusting the infusion rate or managing any potential issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Insomnia: While insomnia can be a side effect of some medications, it is not commonly associated with carbamazepine. Therefore, it is not a priority adverse effect for the client to monitor.
B) Blurred vision: This is the correct answer. Blurred vision is a common adverse effect of carbamazepine. It can occur due to the medication's effects on the central nervous system ’nd may indicate the need for dose adjustment or further evaluation by the healthcare provider. Clients should be instructed to report any changes in vision promptly.
C) Tachypnea: Tachypnea, or rapid breathing, is not typically associated with carbamazepine use. While respiratory depression is a concern with some medications, it is not a common adverse effect of carbamazepine.
D) Metallic taste: Metallic taste is a less common adverse effect of carbamazepine. While it may occur, it is not as prevalent or significant as blurred vision, which can impact the client's daily activities and safety.
Correct Answer is D
Explanation
A) Hypertension: Amiodarone is not typically associated with hypertension. Instead, it is more commonly associated with hypotension.
B) Bradypnea: Amiodarone is not typically associated with bradypnea. Instead, it is more commonly associated with pulmonary toxicity, which can manifest as cough, dyspnea, and pulmonary fibrosis.
C) Fever: While fever is a possible adverse effect of amiodarone, it is not one of the most commonly observed adverse effects. Other adverse effects, such as thyroid dysfunction, pulmonary toxicity, and hepatic toxicity, are more frequently reported.
D) Bradycardia: This is the correct answer. Amiodarone is known to cause bradycardia as an adverse effect. It has a negative chronotropic effect, meaning it can slow down the heart rate. Bradycardia is one of the most commonly observed adverse effects of amiodarone and can be significant, particularly in individuals with pre-existing sinus node dysfunction or conduction abnormalities.
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