The nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which finding(s) should alert the nurse that further assessment is needed? (Select all that apply.)

Redness at intravenous site.

Generalized nonpitting edema.

Frequent productive cough.

Hypoactive bowel sounds in all 4 quadrants.

Urinary output greater than 30 mL per hour.

Answer and Explanation

Correct Answer : A,B,C

Choice A: Redness at the intravenous site may indicate infection or phlebitis, which are complications of TPN.

Choice B: Generalized nonpitting edema may indicate fluid overload, which can occur due to the high osmolarity of TPN.

Choice C: Frequent productive cough may indicate pulmonary edema or aspiration, which are also potential complications of TPN.

Choice D: Hypoactive bowel sounds in all 4 quadrants are not necessarily abnormal, as TPN bypasses the gastrointestinal tract.

Choice E: Urinary output greater than 30 mL per hour is within the normal range and indicates adequate renal function.

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Correct Answer is C

Explanation

Choice A: A pureed regular diet may not provide enough nutritional support for a client who has lost 25% of their body weight and is experiencing stomatitis. This diet may not have the necessary nutrients to address the client's nutritional needs.

Choice B: A high protein soft diet may be appropriate for some clients, but it may still be challenging for a client with stomatitis to consume. Additionally, the focus should also be on providing adequate overall nutrition, not just protein.

Choice C: A mechanical soft diet is often recommended for clients with stomatitis because it provides foods that are easier to chew and swallow while still offering a variety of nutrients. It is a suitable option for clients who have difficulty eating due to oral mucositis (stomatitis).

Choice D: A low residue diet may not provide sufficient nutrients for a client who has lost 25% of their body weight and is experiencing difficulty eating due to stomatitis. This diet may be too restrictive for their nutritional needs.

A. Oranges B. Fortified milk. C. Bananas D. Apple juice.

Correct Answer is B

Explanation

Choice A: Oranges are a good source of vitamin C, which is important for overall health, but they are not the primary dietary source for preventing rickets.

Choice B: Fortified milk is the best dietary source for preventing rickets because it is enriched with vitamin D, which is essential for calcium absorption and bone health. Vitamin D helps prevent rickets by promoting the absorption of calcium and phosphate in the body, which are necessary for proper bone development.

Choice C: Bananas are a good source of potassium but are not a primary dietary source for preventing rickets.

Choice D: Apple juice is not a primary dietary source for preventing rickets. While it may provide some vitamins and minerals, it is not directly associated with preventing this condition.

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The nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which finding(s) should alert the nurse that further assessment is needed? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

Correct Answer is C

Explanation

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Correct Answer is B

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