The provider has notified the patient and family that the patient will be started on parenteral nutrition. The patient asks if their family can go get them a milk shake since the provider said they could have nutrition. What is the best response by nurse at this time?
"Yes! I am sure you are excited to finally eat something. Let's set the head of the bed up"
"Let me have the provider come explain to you what parenteral nutrition is."
"Unfortunately, no. “We are going to be providing you with nutrition through your vein."
"No, we will be putting in a tube that will go from your nose to your stomach to help you eat."
The Correct Answer is C
A. "Yes! I am sure you are excited to finally eat something. Let's set the head of the bed up." This statement misleads the patient by suggesting they can eat orally, which contradicts the purpose of parenteral nutrition (IV nutrition).
B. "Let me have the provider come explain to you what parenteral nutrition is." While the provider can clarify details, the nurse should explain basic information about parenteral nutrition immediately rather than deferring the question.
C. "Unfortunately, no. We are going to be providing you with nutrition through your vein." This provides a clear, direct, and simple explanation of parenteral nutrition (IV nutrition) while acknowledging the patient's interest in food.
D. "No, we will be putting in a tube that will go from your nose to your stomach to help you eat." This describes enteral nutrition (NG tube feeding), which is different from parenteral nutrition (IV feeding).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provide the client with a bedpan to reduce ambulating to the restroom: While limiting unnecessary movement can help prevent falls, using a bedpan is not the best intervention unless the patient is completely immobile.
B. Administer pain medications sparingly in order to minimize any cognitive side effects: Undertreating pain can lead to restlessness and unsteady movement, which may increase fall risk rather than prevent it.
C. Place the client in a shared room with a client who is stable and oriented: Roommate selection does not directly reduce fall risk. A shared room does not guarantee supervision or fall prevention.
D. Orient the client to the room and environment upon admission: Older adults may be disoriented in a new environment, increasing fall risk. Orienting them to the room (call light, bathroom location, bed height) helps them move safely.
Correct Answer is B
Explanation
A. Output assessment: Liquid stool and gas output are expected findings for an ileostomy.
B. General status: The patient’s avoidance of looking at the ileostomy suggests poor adaptation and possible psychological distress, which may require intervention.
C. Stoma assessment: A red, moist, and protruding stoma is a normal finding.
D. Laboratory data: The patient’s potassium level is on the lower end but still within normal limits. There are no critical abnormalities.
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