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 A

Explanation

A. Expired medications should be returned to the pharmacy for proper disposal or replacement.

B. Expired medications should not be placed back in the medication cart, as they may not be safe for administration.

C. Flushing medications down the toilet is not recommended, as it can affect the environment.

D. Notifying the provider is unnecessary unless the expired medications are essential for the client's treatment.

A. "I should not take a St. John's wort supplement." B. "I should use a hard bristle toothbrush." C. "I should get my INR checked once a year." D. "I should not eat cantaloupe while taking the medication."

Correct Answer is A

Explanation

A. St. John's wort can decrease the effectiveness of warfarin, so it should be avoided.

B. Using a hard bristle toothbrush could cause gum bleeding in clients taking warfarin and should be avoided.

C. INR should be checked regularly, not just once a year, to monitor the therapeutic range for warfarin.

D. There is no known interaction between cantaloupe and warfarin.

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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 newly licensed nurse about expired medications. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client who has a prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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