A charge nurse is educating a newly licensed nurse about total parenteral nutrition (TPN) therapy. Which of the following statements indicates an understanding of the teaching?

"TPN is administered for clients who are unable to absorb nutrients from their intestinal tract."

"Clients who require long-term nutritional support are prescribed TPN."

"I should check the client's gastric residual prior to initiating TPN."

"I should administer TPN intravenously over 6 hr.”

Answer and Explanation

The Correct Answer is A

A. TPN is used for clients who cannot absorb nutrients via the intestinal tract, typically due to issues like severe malabsorption or bowel dysfunction.

B. Long-term nutritional support is typically provided via enteral feeding rather than TPN, unless the client cannot tolerate enteral feeding.

C. Gastric residual is relevant for clients receiving enteral nutrition (not TPN), which involves checking for residuals in the stomach before feeding.

D. TPN should be administered over a longer period (typically 12-24 hours), not 6 hours.

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Correct Answer is B

Explanation

A. NPH insulin should be drawn up second, after lispro insulin, to prevent contamination of the shorter-acting insulin.

B. Lispro insulin (short-acting) and NPH insulin (intermediate-acting) can be mixed in one syringe, with the lispro insulin drawn first.

C. The client should eat immediately after administering lispro insulin (a rapid-acting insulin), not within 1 hour.

D. Lispro insulin is clear and should not be cloudy.

A. Calcium carbonate B. Vitamin C C. Folic acid D. Fish oil

Correct Answer is A

Explanation

A. Calcium carbonate should be avoided with tetracycline as it can bind to the antibiotic and decrease its absorption, reducing its effectiveness.

B. Vitamin C does not interact with tetracycline and does not require avoidance.

C. Folic acid does not interfere with tetracycline and can be taken.

D. Fish oil does not affect the absorption or effectiveness of tetracycline.

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A charge nurse is educating a newly licensed nurse about total parenteral nutrition (TPN) therapy. Which of the following statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has diabetes mellitus and a new prescription for a combination of lispro insulin and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has a new prescription for tetracycline. The nurse should instruct the client to avoid taking which of the following supplements with tetracycline?

Correct Answer is A

Explanation

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