A client is receiving Total Parenteral Nutrition (TPN) while admitted in the inpatient setting. Which of the following conditions can occur if the nurse abruptly stops TPN?

Diarrhea

Hypoglycemia

Hypovolemia

Erythema at the site

Answer and Explanation

The Correct Answer is B

A. Diarrhea is not a direct risk of stopping TPN abruptly.
B. Abruptly stopping TPN can cause hypoglycemia because the high glucose content in TPN leads to increased insulin production. Without the continuous glucose infusion, blood sugar levels can drop rapidly.
C. Hypovolemia is not a common outcome from stopping TPN suddenly.
D. Erythema at the site is unrelated to the cessation of TPN and more commonly related to local site reactions or infection.

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Correct Answer is D

Explanation

A. Flumazenil is a benzodiazepine antagonist and is not indicated for anticholinergic overdose.
B. Atropine is an anticholinergic medication used to treat bradycardia and other conditions, but it would not be appropriate for treating an anticholinergic overdose, as it can worsen the symptoms.
C. Naloxone is an opioid antagonist and would not be effective in treating scopolamine overdose.
D. Physostigmine is a reversible cholinesterase inhibitor that can counteract the effects of anticholinergic agents, making it the appropriate choice for reversing scopolamine toxicity.

A. Diabetes Mellitus B. Chronic Kidney Disease C. Iron Deficiency Anemia D. Narrow-Angle Glaucoma

Correct Answer is D

Explanation

A. Diabetes Mellitus is not a contraindication for promethazine, although caution may be needed regarding metabolic control.
B. Chronic Kidney Disease does not specifically contraindicate the use of promethazine, but dosage adjustments may be necessary due to altered drug metabolism.
C. Iron Deficiency Anemia does not contraindicate the use of promethazine and would not raise significant concerns for its administration.
D. Narrow-Angle Glaucoma is a contraindication for promethazine due to its anticholinergic properties, which can increase intraocular pressure and worsen glaucoma.

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A client is receiving Total Parenteral Nutrition (TPN) while admitted in the inpatient setting. Which of the following conditions can occur if the nurse abruptly stops TPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has overdosed on scopolamine (Scopace) while being treated for motion sickness. The nurse recognizes she will administer which medication for an anticholinergic overdose?

Correct Answer is D

Explanation

The nurse is preparing to administer promethazine (Phenergan) to a client who presents with acute vomiting. What information in the client's past medical history would alert the nurse to hold the medication?

Correct Answer is D

Explanation

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A client is receiving Total Parenteral Nutrition (TPN) while admitted in the inpatient setting. Which of the following conditions can occur if the nurse abruptly stops TPN?

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