Question

7. A nurse is caring for a female client undergoing radiation therapy after her breast surgery. The clit is refusing to eat and states she does not have a desire to eat at this time. Which action should the nurse do first? a. Continue to monitor the client. b. Notify the health care provider. C. Begin parenteral nutrition. d. Assess the client's BMI. 8. A client is being started on total parenteral nutrition (TPN). When initiating the therapy, the nurse gradually tapers up the infusion rate as ordered to prevent which potential complication? a. Hyperglycemia b. Infection c. Air embolism d. Pneumothorax 9.An intravenous hypertonic solution containing dextrose, proteins, vitamins, and minerals is known as: a. cellular hydration. b. volume expander. c. total parenteral nutrition. d. blood transfusion therapy. 10. A physician orders nutritional therapy administered via a central vein for a client who cannot take foods orally. What is the term for this type of nutrition? a. Total parenteral nutrition (TPN) b. Partial or peripheral parenteral nutrition (PPN) c. Percutaneous endoscopic gastrostomy tube (PEG) d. Percutaneous endoscopic jejunostomy tube (PE) 11. A client has been prescribed glucagon for the management of hypoglycemia. Which nursing interventions should the nurse be prepared to provide this client for the management of possible adverse effects? Select all that apply. a. Administration of a prescribed suppository for the management of nausea b. Implementation of aspiration precautions c. Monitor for cardiac arrhythmias d. Provide prescribed analgesic for headache e. Ready access to supplemental oxygen 12. The nurse is providing teaching to a client with type 1 diabetes. The client requires additional teaching when he learns that his insulin needs may increase because of what condition? (Select all that apply.) a. Exercise b. Fever c. Anxiety d. Decreased food intake e. Stress

Answer 1

7. Answer ; D) Asses the client's BMI

Reason ; Among the given option, the above mentioned action should need to be taken by a nurse spontaneously when she notice that the client had these kind of symptoms and experiencing these condition. If untreated leads to serious complication, so merely monitoring is not a relavent one. Begining the nutrition can be done by receiving command from the higher offiicial. Hence the above mentioned action is the most essential one before notifying the HCP.

8. Answer ; A) Hyperglycemia

Reason ; If the client receives sudden high amount of total parentral nutrition via intravenous route there a may be chance of having imbalance in the fluid and electrolytes, The above mentioned electrolyte imbalance is most reliably occur if the client experience this kind of infusion, that's why the nurse is doing this process in gradual manner.

9. Answer ; C) total parentral nutrion.

Reason ; Here a infusion fluid consist of certain elements and ,material which are mentioned in tyhe question. By considering those material it is very clear that the infusing fluid is belong to the total parenteral nutrition and not of any other fluid mentioned in the options.

10. Answer ; A) Total parenteral nutrition (TPN)

11,. Answer ; C) monitor for cardiac arrythmias
e) ready access to suplemental oxygen

12. Answer ; A ) exercise
B) fever