The nurse received an order to administer parenteral nutrition for a malnourished patient. The nurse knows it can must be administered through which of the following methods?

Nasointestinal Tube

Gastrostomy Tube

Central Venous Catheter

Orally

Answer and Explanation

The Correct Answer is C

A. Nasointestinal Tube: This is used for enteral nutrition, not parenteral.

B. Gastrostomy Tube: This is also for enteral feeding directly into the stomach.

C. Central Venous Catheter: Parenteral nutrition is a sterile, hypertonic solution that must be administered via a central line due to its osmolarity and potential vein irritation.

D. Orally: Parenteral nutrition is given when the GI tract is not functional, so oral administration is not an option.

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Correct Answer is B

Explanation

A. Protein: High protein intake can increase the risk of stone formation (especially uric acid and calcium stones).

B. Water: Increased fluid intake dilutes urine and reduces stone formation risk. Goal: 2–3 liters/day, unless contraindicated.

C. Sodium: High sodium intake increases calcium excretion, which can promote stone formation.

D. Tea: Some teas contain oxalates, which may contribute to stone formation, especially calcium oxalate stones.

A. "Filter your urine each day.” B. "Drink iter of fluid each day." C. “Choose sugar-sweetened beverages.” D. “Limit your calcium intake.”

Correct Answer is A

Explanation

A. "Filter your urine each day." Filtering urine helps catch passed stones for analysis to determine their type and prevent recurrence.

B. "Drink 1 liter of fluid each day." Clients should drink 2–3 liters per day to help flush the urinary tract and prevent stone formation.

C. "Choose sugar-sweetened beverages." Sugar-sweetened beverages can increase the risk of certain types of stones, especially uric acid stones.

D. "Limit your calcium intake." Restricting calcium is not routinely recommended; low calcium may increase oxalate absorption and stone risk. Diet changes should be individualized.

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The nurse received an order to administer parenteral nutrition for a malnourished patient. The nurse knows it can must be administered through which of the following methods?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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