A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home.
Which of the following instructions should the nurse include? (Select all that apply.)

Infuse 10 percent dextrose and water if the solution runs out.

Shake the TPN bag with fat emulsion if precipitate is present.

Maintain TPN infusion rate when behind schedule.

Keep the TPN refrigerated when not in use.

Answer and Explanation

Correct Answer : A,D

Choice A rationale

Infusing 10 percent dextrose and water prevents hypoglycemia if TPN is temporarily unavailable. This is a crucial step in maintaining the patient's blood sugar levels.

Choice B rationale

Shaking the TPN bag with fat emulsion can cause the emulsion to break, leading to potential complications. Fat emulsions should be mixed gently.

Choice C rationale

Maintaining the TPN infusion rate when behind schedule is incorrect as it can lead to rapid infusion and complications such as hyperglycemia and fluid overload.

Choice D rationale

Keeping the TPN refrigerated when not in use helps to maintain its stability and prevent bacterial contamination. Proper storage is essential for patient safety. .

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Correct Answer is ["3"]

Explanation

Step 1 is 1.5 mg ÷ 0.5 mg/tablet = 3 tablets.

Final calculated answer: 3 tablets.

A. Reduced bronchospasm. B. Decreased breathlessness. C. Increased carbon dioxide retention. D. Improved oxygen saturation levels.

Correct Answer is D

Explanation

Choice A rationale

Reduced bronchospasm is a beneficial outcome for COPD, but it is not the primary outcome related to gas exchange.

Choice B rationale

Decreased breathlessness is a positive outcome for COPD, but it is not directly related to gas exchange.

Choice C rationale

Increased carbon dioxide retention is a negative outcome and indicates worsening of gas exchange.

Choice D rationale

Improved oxygen saturation levels are a direct and measurable outcome of effective gas exchange and indicate better oxygenation in COPD patients.

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A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home.Which of the following instructions should the nurse include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Correct Answer is D

Explanation

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A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home.
Which of the following instructions should the nurse include? (Select all that apply.)