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 C

Explanation

A. Massaging the injection site can increase the risk of bruising and bleeding and should be avoided.
B. The air bubble in a prefilled enoxaparin syringe helps ensure the full dose is administered and prevents medication leakage; it should not be expelled.
C. Enoxaparin is typically administered into the anterolateral or posterolateral abdominal areas for optimal absorption and to minimize tissue irritation.
D. Pinching the skin, rather than holding it taut, is recommended to create a proper subcutaneous pocket for the injection.

A. Decrease in body temperature B. Decrease in respiratory rate C. Increase in heart rate D. Increase in bowel function

Correct Answer is B

Explanation

A. Propofol can cause a transient decrease in body temperature, but this is typically not a significant adverse effect.
B. Propofol commonly causes respiratory depression, so monitoring the client's respiratory rate is essential to ensure adequate ventilation.
C. Propofol typically causes a decrease in heart rate due to its negative chronotropic effects.
D. Propofol typically inhibits bowel function and can cause temporary paralysis of the gastrointestinal tract, leading to decreased bowel function.

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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 planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?

Correct Answer is B

Explanation

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