A nurse is providing teaching to a client about total parenteral nutrition (TPM). Which of the following information should the nurse include?

"TPN will provide nutrition without going through the digestive tract."

"TPN has a low risk of complications."

"TPN will be administered through a peripheral IV in your arm."

"TPN may increase the risk of aspiration."

Answer and Explanation

The Correct Answer is A

A.   TPN provides nutrition directly into the bloodstream, bypassing the digestive tract, and is typically used when the digestive tract cannot be used or tolerated.
B.   TPN has a high risk of complications, including infection, metabolic derangements, and mechanical complications.
C.   TPN requires a central venous catheter for administration, as peripheral IVs are inadequate for the hypertonic solution.
D.   TPN does not directly increase the risk of aspiration, but improper administration or complications from the central line insertion could potentially lead to aspiration.

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Correct Answer is D

Explanation

A. Taking a daily potassium supplement without medical advice can be dangerous as captopril can increase potassium levels.
B. Monitoring pulse rate is more relevant to medications affecting heart rate, such as beta-blockers.
C. Increasing sodium intake can counteract the effects of captopril, which is used to lower blood pressure.
D. Captopril can cause orthostatic hypotension, so caution when changing positions is essential to prevent dizziness and falls.

A. "This medication will not interfere with the effectiveness of oral contraceptives." B. "You should take this medication once each day at bedtime." C. "You can continue to wear soft contact lenses while taking this medication." D. "Your urine will turn orange while you are taking this medication."

Correct Answer is D

Explanation

A. Rifampin can decrease the effectiveness of oral contraceptives, so alternative methods of contraception should be used.
B. Rifampin is typically taken once daily, but the specific timing may vary based on the prescribed regimen.
C. Rifampin can permanently stain soft contact lenses, so clients should be advised to use glasses instead.
D. Rifampin can cause orange discoloration of urine, which is harmless but can be alarming if not expected.

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A nurse is providing teaching to a client about total parenteral nutrition (TPM). Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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