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 D

Explanation

A. "The end of the stoma will be painful after this procedure": The stoma has no nerve endings, so it should not be painful.

B. "You should expect your stoma to be a purple color.": A healthy stoma is pink to red; purple or dark color suggests poor perfusion and requires immediate attention.

C. "You will have solid stool pass through your stoma.": An ileostomy produces liquid to semi-liquid stool, as the large intestine (which absorbs water) is bypassed.

D. "You will have a stoma placed in your right lower abdomen.": An ileostomy is usually created from the ileum and placed in the right lower quadrant.

A. Skin tenting B. BP 178/90 mm Hg C. Jugular vein distention D. Red mucous membranes

Correct Answer is A

Explanation

A. Skin tenting: Skin that remains elevated after being pinched indicates poor skin turgor, a classic sign of dehydration.

B. BP 178/90 mm Hg: Elevated blood pressure is not associated with dehydration; dehydration usually causes low BP.

C. Jugular vein distention: JVD indicates fluid overload, not dehydration.

D. Red mucous membranes: Dehydration typically causes dry, sticky, or cracked mucous membranes, not redness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?

Correct Answer is A

Explanation

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