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."

Answer and Explanation

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).

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Correct Answer is C

Explanation

A. Slough tissue is present: Slough tissue (yellow or white non-viable tissue) can be seen in stage III or IV ulcers but does not alone define a stage IV injury.

B. Adipose tissue is present: Fat (adipose tissue) exposure indicates a stage III ulcer, not necessarily stage IV.

C. Fascia tissue is present: Stage IV pressure injuries extend into deep tissues such as fascia, muscle, tendon, cartilage, or bone, distinguishing them from stage III ulcers.

D. Undermining is present: Undermining (tissue destruction extending under intact skin) can occur in both stage III and IV ulcers, so it is not a defining feature.

A. "I will avoid individuals who were recently vaccinated." B. “I can have visitors so long as they are healthy." C. “I can have fresh flowers brought in.” D. “I should avoid soft cheese.”

Correct Answer is A

Explanation

A. "I will avoid individuals who were recently vaccinated." Patients with neutropenia should avoid live vaccines and exposure to individuals who recently received live vaccines (e.g., MMR, varicella) due to the risk of infection.

B. "I can have visitors so long as they are healthy." This is an appropriate statement. Visitors who are completely healthy and follow proper infection control measures can visit a neutropenic patient.

C. "I can have fresh flowers brought in." Fresh flowers and plants should be avoided due to the risk of fungal or bacterial contamination in the soil and water, which could lead to infection in an immunocompromised patient.

D. "I should avoid soft cheese." Patients with neutropenia should avoid unpasteurized soft cheeses (e.g., Brie, feta, blue cheese) as they can contain Listeria and other bacteria that pose a risk of infection.

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Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
General Status	Patient is avoiding looking at the ileostomy during care.
Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with a stage IV pressure injury. What assessment finding would help them make this determination?

Correct Answer is C

Explanation

A patient is on isolation for neutropenia. What statement made by the patient requires additional education from the nurse?

Correct Answer is A

Explanation

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