A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

Change the PN infusion bag every 48 hr.

Administer the PN and fat emulsion separately.

Prepare the client for a central venous line.

Obtain a random blood glucose daily.

Answer and Explanation

The Correct Answer is C

Rationale: Parenteral nutrition (PN) is a method of providing essential nutrients to the body through a central vein. PN is indicated for clients who cannot take oral or enteral nutrition due to intestinal failure or other conditions. PN requires a central venous line because the solution is hypertonic and can cause thrombophlebitis or damage to peripheral veins. A central venous line also allows for better monitoring of fluid balance and electrolyte levels.

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Correct Answer is B

Explanation

A client identifier is a unique piece of information that can be used to verify the identity of a client before providing care or services. Using client identifiers helps to prevent errors and ensure patient safety. A photograph is an example of a client identifier that can be used by the nurse to confirm that they are administering the medication to the right person.

A. Administer acetaminophen to the client. B. Complete an incident report C. Document the occurrence in the client's medical record. D. Send the visitor to the risk management office.

Correct Answer is B

Explanation

A nursing incident report is a document that provides detailed information and account of the chain of events leading up to and following an unforeseen circumstance in a healthcare setting or facility especially in the nursing side. An incident report is used to communicate important safety information to hospital administrators and keep them updated on aspects of patient care for risk management, quality assurance, educational, and legal purposes. An incident report should be completed within 24 hours by whomever witnessed the incident or was notified first. In this case, the nurse should complete an incident report because the visitor's fall is an unforeseen circumstance that threatens patient safety and could have legal implications.

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A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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