A nurse is observing a newly licensed nurse who is administering total parenteral nutrition (TPN) to a client. Which of the following actions by the newly licensed nurse indicates a need for the nurse to intervene?

Schedules a bag and tubing change for 24 hr after the start of the infusion

Plans for a check of the client's fingerstick glucose level every 6 hr

Gradually increases the TPN infusion rate each hour until the prescribed rate is achieved

Uses the TPN IV tubing to administer the client's next dose of antibiotics

Answer and Explanation

The Correct Answer is D

A: Changing the TPN bag and tubing every 24 hours is standard practice to prevent infection, so this action is appropriate.
B: Checking glucose levels every 6 hours is necessary because TPN can significantly affect blood glucose levels.
C: Gradually increasing the TPN rate is a standard procedure to monitor tolerance to the infusion.
D: This indicates a need for intervention. TPN lines should not be used for any other infusions to prevent contamination and interactions between the nutrition formula and medications.

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Correct Answer is D

Explanation

A: Elevated toilet seats are often recommended following hip surgery to reduce strain, not increase the risk of injury.
B: No stairs in the home is generally a positive feature for a client following hip surgery, reducing fall risk.
C: A reclining chair with a straight back may provide comfortable seating without increasing the risk of injury.
D: A large soaking tub without a shower head can increase the risk of falls and injury due to difficulty getting in and out of the tub, especially for a client recovering from hip surgery.

A. Neonatal Infant Pain Scale (NIPS) B. FACES pain rating scale C. Visual analog scale (VAS) D. Premature Infant Pain Profile (PIPP)

Correct Answer is A

Explanation

A. The Neonatal Infant Pain Scale (NIPS) is commonly used to assess pain in newborns, particularly in the neonatal intensive care unit (NICU) setting. It evaluates specific indicators of pain, such as facial expression, crying, and breathing patterns.

B. The FACES pain rating scale is more commonly used in older children who can understand and communicate using a visual scale of faces depicting different levels of pain intensity.
C. Visual analog scales are typically used in older children and adults to rate pain intensity on a linear scale.
D. The Premature Infant Pain Profile is specifically designed for premature infants and evaluates physiological and behavioral indicators of pain.

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A nurse is observing a newly licensed nurse who is administering total parenteral nutrition (TPN) to a client. Which of the following actions by the newly licensed nurse indicates a need for the nurse to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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