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 ["A","D"]

Explanation

A. Voiding pattern: Monitoring the frequency, amount, and timing of urination helps identify retention issues. Infrequent or small-volume voiding can indicate retention.

B. Dribbling of urine: Dribbling can occur when the bladder is full and cannot empty completely, leading to overflow incontinence, a sign of retention.

C. Color of the urine: While urine color may indicate hydration or infection, it is not a specific indicator of urinary retention.

D. Bladder distension: A full, distended bladder upon palpation or percussion suggests urinary retention.

E. Proteinuria: Protein in urine indicates possible renal disease, not urinary retention.

A. Replace the external urinary catheter once each day B. Connect the catheter to continuous wall suction C. insert the catheter into the client's urethra D. Apply a barrier cream to the client's perineal skin

Correct Answer is D

Explanation

A. Replace the external urinary catheter once each day: Replacement depends on the manufacturer's instructions and patient need, not a fixed daily schedule.

B. Connect the catheter to continuous wall suction: External urinary catheters are connected to a gravity drainage bag, not suction.

C. Insert the catheter into the client's urethra: This describes an internal (indwelling) catheter, not an external one.

D. Apply a barrier cream to the client's perineal skin: Barrier creams help protect skin from moisture-associated skin damage and should be used with external catheters.

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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 caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? [Select All that Apply)

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

Explanation

A nurse is planning to apply a female external urinary catheter for a client. Once the external catheter is in place, which of the following actions should the nurse plan take?

Correct Answer is D

Explanation

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