The nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an Infusion pump. Which action would be appropriate?

Change the IV site dressing every 48-72 hours

Change the IV tubing every 24 hours

Weigh the client every other day on the same scale

Obtain the client's blood glucose every 12 hours

Answer and Explanation

The Correct Answer is B

B. Changing the IV tubing every 24 hours helps prevent the accumulation of bacteria and other contaminants within the tubing, reducing the risk of infection. This practice is particularly important for clients receiving TPN, as they are at higher risk of infection due to the direct infusion of nutrients into the bloodstream.
A. It is essential to maintain the integrity of the IV site to prevent infection and ensure proper TPN delivery. Changing the IV site dressing every 24 hours helps minimize the risk of contamination and infection at the insertion site.
C. Regular monitoring of the client's weight is not necessary.
D. While monitoring blood glucose levels is important for clients at risk of hyperglycemia or hypoglycemia, the frequency of monitoring should be individualized based on the client's clinical condition and risk factors.

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Correct Answer is B

Explanation

B. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastric mucosa and exacerbate gastritis symptoms, including nausea and vomiting. Therefore, aspirin would be contraindicated in a client with acute gastritis, especially if they are experiencing nausea and vomiting.
A. Amoxicillin is an antibiotic commonly used to treat bacterial infections associated with gastritis or peptic ulcers. Therefore, amoxicillin would generally be an appropriate medication for treating gastritis if the underlying cause is bacterial infection.
C. Ranitidine helps alleviate symptoms such as heartburn and indigestion by reducing stomach acid production.
D. Pantoprazole is a proton pump inhibitor (PPI) that is commonly used to treat gastric acid-related disorders, including gastritis and gastroesophageal reflux disease (GERD).

A. Renal colic B. Hematuria in urinalysis C. Nausea D. Anuria

Correct Answer is D

Explanation

D. Anuria refers to the absence of urine production, which can occur due to urinary tract obstruction, severe dehydration, or renal failure. In the context of a client attempting to pass a kidney stone, anuria would be a concerning sign indicating potential urinary tract obstruction requiring urgent medical attention.
A. Renal colic refers to severe flank pain caused by the passage of a kidney stone through the urinary tract. While renal colic is a common symptom of kidney stones and can cause significant discomfort, it does not necessarily indicate an emergency situation unless it is associated with complications such as obstructive uropathy or infection.
B. Hematuria, or blood in the urine, is a common finding in individuals with kidney stones. It occurs due to irritation or injury to the urinary tract as the stone passes through.
C. Nausea is a common symptom experienced by individuals with kidney stones, particularly if there is associated pain or discomfort. While nausea can be distressing, it does not typically indicate an emergency situation unless it is severe and persistent, leading to dehydration or other complications.

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The nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an Infusion pump. Which action would be appropriate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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