A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

"The TPN will stimulate your appetite so that you'll be able to eat more food."

"The TPN contains medication that will help your digestive tract absorb nutrients."

"The TPN will provide nutrients while your bowels have time to rest."

"The TPN will help keep your bowels clear in case you need surgery."

Answer and Explanation

The Correct Answer is C

C) "The TPN will provide nutrients while your bowels have time to rest": Total parenteral nutrition (TPN) is a method of providing nutrition intravenously to clients who are unable to tolerate or absorb adequate nutrients through the gastrointestinal tract. It bypasses the digestive tract entirely, delivering a balanced mixture of nutrients directly into the bloodstream. One of the primary indications for TPN is to provide nutritional support while allowing the gastrointestinal tract to rest, particularly in cases where the bowels are inflamed, injured, or unable to function properly. By bypassing the digestive system, TPN can provide essential nutrients to the body while reducing the workload on the gastrointestinal tract. Therefore, the nurse should include this information in the teaching to help the client understand the purpose and benefits of TPN therapy.

A) "The TPN will stimulate your appetite so that you'll be able to eat more food": TPN does not stimulate appetite. In fact, TPN is often used when the client cannot eat or tolerate oral intake due to various medical conditions or gastrointestinal issues. Therefore, this statement is incorrect and may confuse the client about the purpose of TPN therapy.

B) "The TPN contains medication that will help your digestive tract absorb nutrients": TPN does not contain medication to help the digestive tract absorb nutrients. Instead, TPN provides nutrients directly into the bloodstream, bypassing the need for digestion. This statement is inaccurate and does not accurately describe the mechanism of action of TPN.

D) "The TPN will help keep your bowels clear in case you need surgery": While TPN can help maintain nutritional status in clients who are unable to eat or tolerate oral intake, it is not primarily used to keep the bowels clear for surgery. Bowel preparation for surgery typically involves other interventions such as bowel rest, mechanical cleansing, or medication administration. Therefore, this statement is not directly related to the purpose of TPN therapy and may mislead the client about its intended use.

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Correct Answer is A

Explanation

A) Ginkgo biloba: This is the correct answer. Ginkgo biloba is contraindicated for concurrent use with warfarin because it can increase the risk of bleeding due to its anticoagulant properties. It can potentiate the effects of warfarin, leading to an increased risk of bruising and bleeding complications.

B) Valerian: While valerian is an herbal supplement used for its sedative effects, it does not typically interact significantly with warfarin. However, caution should still be exercised when combining valerian with any medication due to its potential to cause drowsiness and enhance the effects of other central nervous system depressants.

C) Coenzyme Q10: Coenzyme Q10 is a dietary supplement that is generally well-tolerated and does not have significant interactions with warfarin. It is often used as an antioxidant and for various cardiovascular conditions.

D) Probiotics: Probiotics are beneficial bacteria that can aid in gut health but are unlikely to interact significantly with warfarin. However, it is essential to monitor for any potential changes in gastrointestinal function when starting probiotics concurrently with warfarin.

A. A child who recently received the human papillomavirus vaccine B. An older adult client living in a long-term care facility C. A client who has AIDS D. A young adult who has an allergy to eggs

Correct Answer is C

Explanation

A) A child who recently received the human papillomavirus vaccine: There is no contraindication for administering the varicella vaccine to a child who recently received the human papillomavirus vaccine. These vaccines target different viruses and can typically be given concurrently without issue.

B) An older adult client living in a long-term care facility: Older adults living in long-term care facilities are at increased risk of complications from varicella infection and are, therefore, recommended to receive the varicella vaccine unless contraindicated due to specific health conditions.

C) A client who has AIDS: Clients with AIDS or other severe immunosuppressive conditions should not receive live virus vaccines like the varicella vaccine due to the risk of vaccine-induced disease. These individuals may have compromised immune systems, increasing the risk of adverse reactions or inadequate immune response to the vaccine.

D) A young adult who has an allergy to eggs: While some vaccines, including the varicella vaccine, are grown in eggs, having an allergy to eggs is not an absolute contraindication for receiving the vaccine. Most individuals with egg allergies can safely receive the varicella vaccine under medical supervision, as the risk of an allergic reaction is low.

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A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?

Correct Answer is A

Explanation

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

Correct Answer is C

Explanation

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