A nurse is caring for a patient who has partial-thickness burns on 50% of his body and is receiving total parenteral nutrition.
The nurse should actively monitor the patient for which of the following?
Intermittent abdominal pain
Increased serum glucose levels
Absent bowel sounds
Decreased calcium levels
The Correct Answer is B
Choice A rationale
Intermittent abdominal pain is not typically associated with total parenteral nutrition (TPN) or burn injuries.
Choice B rationale
Increased serum glucose levels can occur with TPN due to the high glucose content of the solution. This should be monitored closely, especially in patients with burns, who may have altered glucose metabolism.
Choice C rationale
Absent bowel sounds are not typically associated with TPN or burn injuries.
Choice D rationale
Decreased calcium levels are not typically associated with TPN or burn injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
When a patient is initiating IV therapy, one of the tasks a nurse may perform is administering IV fluids with a potassium supplement. This is a common task in IV therapy. Therefore, this choice is correct.
Choice B rationale
Administering pain medication could be a part of a nurse’s responsibilities, but it is not specific to the initiation of IV therapy. Therefore, this choice is incorrect.
Choice C rationale
Inserting a nasogastric tube is not a task associated with initiating IV therapy. Therefore, this choice is incorrect.
Choice D rationale
Requesting a prescription for an antiemetic is not a task associated with initiating IV therapy. Therefore, this choice is incorrect.
Correct Answer is B
Explanation
Choice A rationale
Monthly vitamin B12 injections are not a risk factor for the development of osteoporosis. Vitamin B12 is important for nerve function and the production of DNA and red blood cells, not bone health.
Choice B rationale
Long-term use of prednisone, a corticosteroid, can lead to osteoporosis. Prednisone can decrease the absorption of calcium in the gut and increase the loss of calcium in the kidneys, leading to bone loss and an increased risk of fractures.
Choice C rationale
A congenital heart murmur is not a risk factor for the development of osteoporosis. Heart murmurs are sounds during your heartbeat cycle made by turbulent blood in or near your heart, and they are not associated with bone health.
Choice D rationale
A history of kidney stones is not a risk factor for the development of osteoporosis. Kidney stones are hard deposits made of minerals and salts that form inside your kidneys, and they are not associated with bone health.
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