The nurse is caring for a client receiving a TPN Infusion running at 54.2 mL/hr and there is only 25 mL remaining in the bag. The next Infusion bag has not been brought to the unit. Which action would be appropriate?

Notify the physician immediately.

Notify the pharmacy when the bag is empty

Decrease the rate to 27.1 mL/hr until the new bag is brought to the unit

Hang a bag of D10W at the current rate until the new bag arrives

Answer and Explanation

The Correct Answer is C

C. Decrease the rate to 27.1 mL/hr until the new bag is brought to the unit: This option is a suitable approach to conserve the remaining TPN solution until the new bag arrives. By halving the infusion rate, the remaining volume of TPN will last longer, ensuring the client continues to receive some nutrition and fluid support while awaiting the delivery of the new bag.
A. While it's important to inform the healthcare team about the low volume of TPN remaining, it may not require immediate physician intervention unless the situation worsens or alternative actions need to be taken.
B. Notifying the pharmacy when the bag is empty is a reasonable action, as they can prepare and deliver the next infusion bag promptly. However, it does not address the immediate need for fluid and nutrition replacement.
D. D10W (dextrose 10% in water) can help prevent hypoglycemia and provide some energy, but it does not provide the full nutritional support that TPN does. However, it can be a reasonable short- term measure while waiting for the replacement TPN bag.

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Correct Answer is ["A","B","D"]

Explanation

A. Daily weighing can help individuals monitor their progress and stay accountable for their weight loss goals. However, it's essential to emphasize that weight can fluctuate due to various factors such as hydration, digestion, and muscle mass changes, so the focus should be on overall trends rather than daily fluctuations.
B. Joining a support group can provide individuals with encouragement, motivation, and accountability during their weight loss journey. It allows them to connect with others who are facing similar challenges and share strategies for success.
D. Keeping a food diary or journal can be a valuable tool for promoting awareness of eating habits, tracking calorie intake, and identifying patterns or triggers for overeating. It helps individuals make informed choices about their diet and can contribute to successful weight loss by promoting accountability and mindfulness.
C. Use large, yellow plates is not typically included in successful weight loss strategies. Plate size and color may have minimal impact on food intake compared to factors such as portion control, food choices, and mindful eating practices.
E. Eating quickly and leaving the table can lead to overeating because it doesn't allow time for the body to register fullness signals.

A. Loops of large bowel become visibly outlined through the abdominal wall B. Intense thirst, parched tongue and dry mucous membranes C. Vomiting of bile-stained gastric contents D. High-pitched, frequent bowel sounds

Correct Answer is A

Explanation

A. Loops of large bowel become visibly outlined through the abdominal wall is a typical late clinical finding of a large bowel obstruction. In fact, visible loops of bowel through the abdominal wall may be observed in cases of a severe bowel obstruction, but it is not typically considered a late finding.

B. Intense thirst, parched tongue, and dry mucous membranes suggest dehydration, which can occur as a result of vomiting, decreased fluid intake, or fluid loss due to the obstruction. However, dehydration may occur earlier in the course of a bowel obstruction and may not be considered a late finding.
C. Vomiting in large bowel obstruction is commonly of fecal contents.
D. High-pitched, frequent bowel sounds is not a typical late clinical finding of a large bowel obstruction. Instead, bowel sounds are usually diminished or absent in cases of bowel obstruction due to decreased peristalsis beyond the site of obstruction.

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The nurse is caring for a client receiving a TPN Infusion running at 54.2 mL/hr and there is only 25 mL remaining in the bag. The next Infusion bag has not been brought to the unit. Which action would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching the client about successful strategies for weight loss. Which would the nurse include? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

The nurse is assessing a client who has a large bowel obstruction. Which late clinical finding would the nurse expect?

Correct Answer is A

Explanation

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