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. Warming the formula is not indicated for treating hypoglycemia.
B. Discontinuing the infusion may exacerbate hypoglycemia if the client requires parenteral nutrition for other reasons.
C. Administering IV dextrose is the appropriate intervention for treating hypoglycemia in a client receiving parenteral nutrition.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia unless there are other concerns about the client's respiratory status.

A. Blood pressure 144/78 mm Hg B. History of artificial heart valve C. Heart rate 106/min D. Decreased vitamin K level

Correct Answer is D

Explanation

A. Blood pressure within this range is not a contraindication for warfarin administration.
B. A history of artificial heart valve, is actually an indication for warfarin, not a contraindication, as it helps prevent thromboembolic events.
C. Heart rate within this range is not a contraindication for warfarin administration.

D. Warfarin is an anticoagulant that works by inhibiting the synthesis of vitamin K- dependent clotting factors. Therefore, a decreased level of vitamin K would potentiate the effects of warfarin, increasing the risk of bleeding, which is a contraindication for its use.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing to administer warfarin to a client. Which of the following findings indicates a contraindication?

Correct Answer is D

Explanation

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