The nurse provides care for a client who is severely malnourished. A central venous access device (CVAD) is placed to administer total parenteral nutrition (TPN). Which laboratory result does the nurse closely monitor?

Glucose

Cholesterol

Hemoglobin

Sedimentation rate

Answer and Explanation

The Correct Answer is A

Total parenteral nutrition (TPN) is a form of nutrition that is administered intravenously when a client is unable to eat or absorb nutrients orally or enterally. TPN solutions contain a high concentration of glucose, which provides the body with energy. Therefore, the nurse must closely monitor the client's glucose levels, as TPN can cause hyperglycemia (high blood sugar levels).

Frequent monitoring of blood glucose levels is necessary to ensure that the client's blood sugar stays within an acceptable range. Hyperglycemia can lead to a variety of complications, including dehydration, electrolyte imbalances, and damage to organs such as the kidneys and eyes. If the client's blood glucose levels are consistently high, adjustments to the TPN solution may be necessary, or insulin may need to be administered to help regulate blood sugar levels.

Therefore, glucose is the laboratory result that the nurse must closely monitor when a client is receiving TPN via a central venous access device (CVAD).

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Correct Answer is C

Explanation

The client is likely feeling scared, vulnerable, and alone. By calling the partner to come and visit, the nurse can provide the client with emotional support and comfort during this difficult time. This can also help to alleviate the client's distress and promote a sense of security and familiarity.

Assessing the IV site for inﬂammation (a) and measuring the urine output for the day (b) are important aspects of the client's care, but they are not the priority in this situation. Asking the client if pain medication is required (d) is also important, but it can wait until the client's emotional needs have been addressed.

A. Increase voice volume B. Stand next to the client when talking C. Ensure the light is on the face when talking D. Speak directly into one of the client's ears

Correct Answer is C

Explanation

This is because successful communication requires the eﬀorts of all people involved in a conversation. Even when the person with hearing loss utilizes hearing aids and active listening strategies, it is crucial that others involved in the communication process consistently use good communication strategies. One of these strategies is to face the hearing-impaired person directly, on the same level and in good light whenever possible. Position yourself so that the light is shining on the speaker's face, not in the eyes of the listener ¹.

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The nurse provides care for a client who is severely malnourished. A central venous access device (CVAD) is placed to administer total parenteral nutrition (TPN). Which laboratory result does the nurse closely monitor?

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