The nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an Infusion pump. Which action would be appropriate?

Change the IV site dressing every 48-72 hours

Change the IV tubing every 24 hours

Weigh the client every other day on the same scale

Obtain the client's blood glucose every 12 hours

Answer and Explanation

The Correct Answer is B

B. Changing the IV tubing every 24 hours helps prevent the accumulation of bacteria and other contaminants within the tubing, reducing the risk of infection. This practice is particularly important for clients receiving TPN, as they are at higher risk of infection due to the direct infusion of nutrients into the bloodstream.
A. It is essential to maintain the integrity of the IV site to prevent infection and ensure proper TPN delivery. Changing the IV site dressing every 24 hours helps minimize the risk of contamination and infection at the insertion site.
C. Regular monitoring of the client's weight is not necessary.
D. While monitoring blood glucose levels is important for clients at risk of hyperglycemia or hypoglycemia, the frequency of monitoring should be individualized based on the client's clinical condition and risk factors.

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Correct Answer is B

Explanation

B. Ulcerative colitis is a type of inflammatory bowel disease (IBD) characterized by inflammation and ulcers in the inner lining of the colon and rectum. Bloody diarrhea is one of the hallmark symptoms of ulcerative colitis. The inflammation and ulcers in the colon and rectum can lead to rectal bleeding, resulting in bloody stools.
A. Weight gain is not a common symptom of ulcerative colitis.
C. Blurred vision is not a typical symptom of ulcerative colitis. Symptoms of ulcerative colitis primarily involve the gastrointestinal tract, such as abdominal pain, diarrhea (often bloody), urgency to have a bowel movement, and fatigue.
D. Constipation is more commonly associated with other gastrointestinal conditions, such as irritable bowel syndrome (IBS) or certain medications.

A. avoid eating nuts and foods with seeds. B. increase fiber in the diet. C. try different methods for stress relief. D. walk more to strengthen abdominal muscles.

Correct Answer is B

Explanation

B. Increase fiber in the diet: This is the correct option. Increasing dietary fiber intake is one of the most important interventions to prevent diverticular disease and reduce the risk of diverticulitis. Adequate fiber intake promotes regular bowel movements and prevents constipation, which can help reduce pressure in the colon and minimize the formation of diverticula.
A. Nuts and seeds are excellent sources of dietary fiber, which may actually help prevent diverticular disease. Therefore, while avoiding nuts and seeds may be advised during an acute diverticulitis flare-up to reduce irritation to the colon, it is not the most important long-term preventive intervention.
C. While stress management techniques may contribute to overall health and well-being, they are not the most important intervention specifically for preventing diverticular disease.
D. While physical activity and exercise are important for overall health and may help improve bowel function, there is limited evidence to suggest that strengthening abdominal muscles alone can prevent diverticular disease.

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The nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an Infusion pump. Which action would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common symptom of ulcerative colitis?

Correct Answer is B

Explanation

The client is being discharged after being seen in the urgent care center for a possible first experience with diverticulitis. The client asks the nurse what can be done to prevent further development of diverticular disease. The nurse's most important intervention to teach this client would be to:

Correct Answer is B

Explanation

The nurse is providing follow-up care for a client who was recently diagnosed with benign prostatic hypertrophy (BPH). Which problem is the priority for the nurse to include in the client's plan of care?

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The nurse assesses a client admitted four hours ago with a diagnosis of diverticulitis. Which clinical manifestation must be reported immediately to the physician?

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A client with Type 2 diabetes is brought into the emergency room in an unresponsive state. A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNK) is made. The nurse prepares for the administration of which initial therapy?

The nurse recognizes that the client requires additional teaching when he states, "Drugs like orlistat will:

While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing: