The nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse understands that the best explanation for utilizing TPN is to:

assist clients who are unable to eat but have active GI function.

give short term nutrition after a surgical procedure.

provide all of the client's nutritional needs in a hypertonic solution.

prevent complications after a laparotomy for a bowel obstruction.

Answer and Explanation

The Correct Answer is C

C. TPN does provide all of the client's nutritional needs, including carbohydrates, proteins, fats, vitamins, minerals, and electrolytes, in a hypertonic solution. The hypertonicity of the solution is necessary to prevent fluid overload and ensure compatibility with the vasculature. The hypertonic solution allows for higher nutrient concentrations to be delivered without exceeding vascular capacity.
A. TPN is indicated for clients who are unable to tolerate enteral nutrition (feeding through the gastrointestinal tract) or have impaired absorption, digestion, or utilization of nutrients despite having active GI function.
B. TPN may be used temporarily after a surgical procedure if the client is unable to tolerate oral or enteral feeding or if enteral nutrition is contraindicated due to the surgical site or condition. However, TPN is not limited to short-term use after surgery and may be required for an extended period in clients with chronic conditions or prolonged inability to tolerate enteral nutrition.
D. TPN may be used in some cases after a laparotomy for a bowel obstruction, particularly if enteral nutrition is contraindicated or if the client is unable to tolerate oral intake. However, TPN is not primarily used to prevent complications after surgery but rather to provide nutritional support when enteral feeding is not feasible or sufficient.

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Correct Answer is A

Explanation

A . Bacterial infection is the most common cause of cystitis. The majority of cases of cystitis are caused by bacteria, most commonly Escherichia coli (E. coli). Bacteria can enter the urinary tract through the urethra and multiply in the bladder, leading to inflammation and symptoms of cystitis such as urinary urgency, frequency, and burning with urination.

B, C, D While other options such as fungal, parasitic, or viral infections can cause cystitis in certain cases, they are less common compared to bacterial infections.

A. Numbness in the legs B. Rebound tenderness on abdominal palpation C. Projectile vomiting of undigested food D. Jaundice of the skin and sclera

Correct Answer is B

Explanation

B. Rebound tenderness on abdominal palpation: Rebound tenderness, where pain increases upon release of pressure during abdominal palpation, is a classic sign of peritonitis, which can occur due to a peptic ulcer perforation. It indicates irritation of the peritoneum, the lining of the abdominal cavity, which can occur when stomach contents leak into the peritoneal cavity.
A. Numbness in the legs is not typically associated with perforation of a peptic ulcer. Perforation of a peptic ulcer usually presents with localized abdominal symptoms rather than symptoms in the legs.
C. Projectile vomiting of undigested food is not typically associated with perforation of a peptic ulcer. It is more commonly seen in conditions such as pyloric stenosis or gastrointestinal obstruction.
D. Jaundice, a yellow discoloration of the skin and sclera, is not typically associated with perforation of a peptic ulcer.

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The nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse understands that the best explanation for utilizing TPN is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most common cause of cystitis?

Correct Answer is A

Explanation

The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

Correct Answer is B

Explanation

A client is preparing for bariatric surgery. The nurse advises that which form of exercise would be most beneficial for this client?

The nurse is teaching a client about dietary management post gastric banding (Lap-band) surgery. Which information does the nurse plan to Include?

The nurse identifies a client problem of impaired skin integrity related to diarrhea for a client who has ulcerative colitis. The nurse recognizes that teaching about perianal care has been effective when the client:

The client has lived with ulcerative colitis for close to 15 years and has learned to manage it very well. At this point in time, the nurse's discussion with the client about this disease should have a primary focus on which question?

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?

What symptoms would indicate to the nurse that the client receiving TPN is experiencing hyperglycemia?

After successfully losing 0.5 to 1 pound weekly for several months, a client at the clinic has not lost any weight for the last month. The nurse should first:

Which of the following is a common symptom of esophageal ulcers?