The physician orders Salagen 10 mg PO twice a day for dry eyes.

The medication is supplied in 5-mg tablets.

How many tablets will the nurse administer?

Choice A rationale

Canned pineapple, while containing some fiber, typically has a lower fiber content compared to fresh fruits, especially when the skin is removed. The canning process can also reduce the fiber content. A diet rich in fiber promotes bowel regularity, helps control blood sugar levels, and can contribute to lower cholesterol.

Choice B rationale

Mashed potatoes, particularly if made with peeled potatoes, are relatively low in dietary fiber. Most of the fiber in a potato is found in its skin. Fiber is essential for maintaining healthy bowel function, preventing constipation, and contributing to feelings of fullness, which can aid in weight management.

Choice C rationale

Celery is a source of dietary fiber, primarily in its strings. Fiber adds bulk to the stool, facilitating its passage through the digestive system and preventing constipation. Adequate fiber intake is also associated with a reduced risk of cardiovascular disease and certain types of cancer.

Choice D rationale

Pears with skin are an excellent source of dietary fiber. The skin of fruits and vegetables is often rich in fiber. Dietary fiber plays a vital role in digestive health by promoting regularity, preventing constipation, and supporting the growth of beneficial gut bacteria. It also helps regulate blood sugar and cholesterol levels.

Choice A rationale

While it is important to inform the physician about the delay in the TPN solution, the immediate priority is to maintain the patency of the central venous catheter and prevent hypoglycemia. Calling the MD should occur after taking steps to address the immediate risk.

Choice B rationale

Giving the patient a high-protein snack will not address the immediate issue of the TPN running out and the risk of hypoglycemia associated with the abrupt cessation of a high-glucose solution. TPN provides a significant amount of glucose, and suddenly stopping it can lead to a drop in blood sugar.

Choice C rationale

Hanging a bag of 10% dextrose solution (D10W) is the most appropriate immediate action. This will provide a continuous source of glucose to prevent hypoglycemia while waiting for the new TPN bag from the pharmacy. D10W is often used as a bridge solution in this situation. Normal blood glucose levels are typically 70-110 mg/dL.

Choice D rationale

Flushing the line and waiting for the pharmacy to supply the next bag without infusing any solution puts the patient at significant risk for hypoglycemia and can also lead to catheter occlusion. Maintaining a continuous infusion, even of D10W, is crucial. .