A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?
Remove unused parenteral nutrition after 12 hr of use.
Monitor the flow rate of the parenteral nutrition carefully and increase the rate as needed if it falls behind.
Remove the parenteral nutrition solution from the refrigerator 2 hr before infusion.
Monitor daily laboratory values and report as needed.
The Correct Answer is D
A. Parenteral nutrition (PN) should not be left out for extended periods. Generally, unused PN should be discarded after 24 hours, not 12 hours, to prevent contamination and bacterial growth.
B. The flow rate of PN should be monitored and adjusted carefully, but it should not be increased without orders. Rapid adjustments could cause complications such as fluid overload or electrolyte imbalances.
C. PN solution should be removed from the refrigerator 1 to 2 hours before use to allow it to come to room temperature, but 2 hours may be too long. It should be done cautiously to avoid bacterial growth at room temperature.
D. Monitoring daily laboratory values is essential for assessing the client's nutritional status, electrolytes, liver function, and kidney function. These values help guide ongoing care and detect complications of PN, such as electrolyte imbalances or liver dysfunction.
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Related Questions
Correct Answer is D
Explanation
A. Parenteral nutrition (PN) should not be left out for extended periods. Generally, unused PN should be discarded after 24 hours, not 12 hours, to prevent contamination and bacterial growth.
B. The flow rate of PN should be monitored and adjusted carefully, but it should not be increased without orders. Rapid adjustments could cause complications such as fluid overload or electrolyte imbalances.
C. PN solution should be removed from the refrigerator 1 to 2 hours before use to allow it to come to room temperature, but 2 hours may be too long. It should be done cautiously to avoid bacterial growth at room temperature.
D. Monitoring daily laboratory values is essential for assessing the client's nutritional status, electrolytes, liver function, and kidney function. These values help guide ongoing care and detect complications of PN, such as electrolyte imbalances or liver dysfunction.
Correct Answer is ["A","D"]
Explanation
A. A family history of esophageal cancer is a known risk factor. Genetic factors can increase the likelihood of developing esophageal cancer, especially if close family members have had the condition.
B. A diet high in glucose is not specifically associated with an increased risk of esophageal cancer. However, poor dietary habits in general, such as a high intake of processed foods or low fiber, can contribute to other health issues.
C. Irregular exercise is not a major risk factor for esophageal cancer. However, a lack of physical activity can contribute to overall health problems, including obesity, which is a known risk factor for some cancers.
D. Smoking tobacco is a significant risk factor for esophageal cancer. Smoking can damage the esophagus and increase the risk of developing both squamous cell carcinoma and adenocarcinoma of the esophagus.
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