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":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A,B"},"E":{"answers":"A,B"},"F":{"answers":"A,B"},"G":{"answers":"A"},"H":{"answers":"A,B"},"I":{"answers":"A,B"},"J":{"answers":"A,B"}}
Explanation
- Abdominal Pain: Common in both small bowel obstruction and acute pancreatitis.
- No Bowel Movement for 5 days: More indicative of small bowel obstruction.
- Vomiting: Can occur in both conditions.
- Abdominal Distention: Seen in both small bowel obstruction and acute pancreatitis.
- Increased Heart Rate: Can be a response to pain or infection in both conditions.
- Elevated Temperature: Can occur in both conditions due to inflammation or infection.
- Distention with fluid and gas in the small bowel (CT Scan): Specific to small bowel obstruction.
- Sodium: 130 mEq/L: Hyponatremia can be seen in both conditions.
- Potassium: 3.3 mEq/L: Hypokalemia can be seen in both conditions.
- WBC count: 10,000/mm: Leukocytosis can be seen in both conditions due to inflammation.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Based on the provided information, the nurse should anticipate a provider prescription for 0.9% sodium chloride and Lorineiv 4mg every 4h.
This is because the patient is postoperative and may require fluid replacement to maintain hydration and manage mild discomfort.
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