A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy.

Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?

Dextrose 10% in water.

3% sodium chloride.

0.9% sodium chloride.

Lactated Ringer's. .

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Dextrose 10% in water can be used as a temporary replacement for TPN to prevent hypoglycemia until the TPN solution is available.
Choice B rationale:
3% sodium chloride is a hypertonic solution and is not typically used as a replacement for TPN.
Choice C rationale:
0.9% sodium chloride, or normal saline, does not provide the necessary nutrients that are included in TPN.
Choice D rationale:
Lactated Ringer’s is used for fluid resuscitation and does not provide the necessary nutrients that are included in TPN.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:
Serum creatinine level is a reliable indicator of kidney function.
Choice B rationale:
While it can indicate severe renal impairment, it doesn’t diagnose specific diseases.
Choice C rationale:
It doesn’t specifically test for medication interference.
Choice D rationale:
It’s the nurse’s role to provide this information, not defer to the doctor.

A. Potassium 2.3 mEq/L. B. Chloride 99 mEq/L. C. Sodium 136 mEq/L. D. Calcium 10 mg/dL.

Correct Answer is A

Explanation

Choice A rationale:
Potassium 2.3 mEq/L is below the normal range of 3.5 to 5.0 mEq/L1. Hydrochlorothiazide, a diuretic, can cause hypokalemia, which is a low level of potassium.
Choice B rationale:
Chloride 99 mEq/L is within the normal range of 96 to 106 mEq/L2, so it’s not a concern.
Choice C rationale:
Sodium 136 mEq/L is within the normal range of 135 to 145 mEq/L3, so it’s not a concern.
Choice D rationale:
Calcium 10 mg/dL is within the normal range of 8.6 to 10.2 mg/dL4, so it’s not a concern.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?.

Correct Answer is A

Explanation

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?

A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching?

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?

A nurse is teaching a client who has fibrocystic breast condition (FBC) about strategies to minimize discomfort. Which of the following instructions should the nurse include in the teaching?