The physician orders 3000 mL of total parenteral nutrition (TPN) to be infused from 1900 to 0700 hours. How many milliliters per hour should the IV pump be programmed for?

Answer and Explanation

The Correct Answer is ["250"]

Order: 3000 mL of TPN to be infused from 1900 to 0700 hours

Total infusion time: 12 hours

Volume to be infused: 3000 mL

Infusion rate: 3000 mL ÷ 12 hours = 250 mL/hr

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Correct Answer is D

Explanation

a) High Glucose: A high glucose diet is not typically recommended for patients with hypertension or heart failure, as it may lead to insulin resistance or contribute to obesity, which exacerbates these conditions.

b) Pureed Diet: A pureed diet is typically prescribed for patients with difficulty swallowing, not specifically for those with hypertension or heart failure.

c) High Mineral: A high mineral diet might not be appropriate for patients with hypertension or heart failure, as certain minerals (like sodium) should be restricted.

d) Sodium-restricted diet: A sodium-restricted diet is commonly prescribed for patients with hypertension or heart failure to help control fluid retention and blood pressure. Reducing sodium intake helps manage these conditions effectively.

A. Neuromuscular problems may result in the client finding urinary control too much trouble, resulting in incontinence B. Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency C. Decreased bladder contractility may lead to urine retention and stasis, which increase the likelihood of urinary tract infection. D. The diminished ability of the kidneys to concentrate urine may result in urinary tract infection.

Correct Answer is A

Explanation

a) Neuromuscular problems may result in the client finding urinary control too much trouble, resulting in incontinence: Neuromuscular issues in older adults can affect their ability to control the bladder, leading to urinary incontinence due to weakened bladder muscles and impaired coordination of the sphincter.

b) Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency: Typically, aging results in decreased bladder muscle tone, not increased, leading to reduced capacity and increased frequency of urination. Increased tone would not typically cause frequency.

c) Decreased bladder contractility may lead to urine retention and stasis, which increases the likelihood of urinary tract infection: Aging can lead to decreased bladder contractility, resulting in urine retention, which can cause stasis and increase the risk of urinary tract infections (UTIs).

d) The diminished ability of the kidneys to concentrate urine may result in urinary tract infection: While diminished kidney function may cause issues like dehydration or nocturia, it is not directly related to causing UTIs. UTIs are more commonly caused by poor urine flow or retention.

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The physician orders 3000 mL of total parenteral nutrition (TPN) to be infused from 1900 to 0700 hours. How many milliliters per hour should the IV pump be programmed for?

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Naxlex Comprehensive Predictor Exams

What type of diet would a patient with hypertension or heart failure or be prescribed?

Correct Answer is D

Explanation

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