A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

"The TPN will stimulate your appetite so that you'll be able to eat more food."

"The TPN contains medication that will help your digestive tract absorb nutrients."

"The TPN will provide nutrients while your bowels have time to rest."

"The TPN will help keep your bowels clear in case you need surgery."

Answer and Explanation

The Correct Answer is C

C) "The TPN will provide nutrients while your bowels have time to rest": Total parenteral nutrition (TPN) is a method of providing nutrition intravenously to clients who are unable to tolerate or absorb adequate nutrients through the gastrointestinal tract. It bypasses the digestive tract entirely, delivering a balanced mixture of nutrients directly into the bloodstream. One of the primary indications for TPN is to provide nutritional support while allowing the gastrointestinal tract to rest, particularly in cases where the bowels are inflamed, injured, or unable to function properly. By bypassing the digestive system, TPN can provide essential nutrients to the body while reducing the workload on the gastrointestinal tract. Therefore, the nurse should include this information in the teaching to help the client understand the purpose and benefits of TPN therapy.

A) "The TPN will stimulate your appetite so that you'll be able to eat more food": TPN does not stimulate appetite. In fact, TPN is often used when the client cannot eat or tolerate oral intake due to various medical conditions or gastrointestinal issues. Therefore, this statement is incorrect and may confuse the client about the purpose of TPN therapy.

B) "The TPN contains medication that will help your digestive tract absorb nutrients": TPN does not contain medication to help the digestive tract absorb nutrients. Instead, TPN provides nutrients directly into the bloodstream, bypassing the need for digestion. This statement is inaccurate and does not accurately describe the mechanism of action of TPN.

D) "The TPN will help keep your bowels clear in case you need surgery": While TPN can help maintain nutritional status in clients who are unable to eat or tolerate oral intake, it is not primarily used to keep the bowels clear for surgery. Bowel preparation for surgery typically involves other interventions such as bowel rest, mechanical cleansing, or medication administration. Therefore, this statement is not directly related to the purpose of TPN therapy and may mislead the client about its intended use.

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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.

A. Hypertension B. Bradypnea C. Fever D. Bradycardia

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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A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is B

Explanation

A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

Correct Answer is D

Explanation

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